Greg Lee, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10330 Issued in OR

Practice address

515 NE 4TH St
Bend, OR 97701-4955

Phone

(541) 382-0414

Fax

(541) 382-9469

NPI assigned

Aug 4, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greg M Lee DMD PC

  • Dental Clinic/Center
  • Bend, OR
  • NPI 1861910077
  NPD Authorized official
• Gary E Dehm DMD , PC

  • General Practice Dentistry
  • Bend, OR
  • NPI 1124424890
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1821474677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014955",
            "telephone_number": "541-382-0414",
            "fax_number": "541-382-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014955",
            "telephone_number": "541-382-0414",
            "fax_number": "541-382-9469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Vey Way",
            "address_purpose": "LOCATION",
            "city": "The Dalles",
            "state": "OR",
            "postal_code": "970581066",
            "country_code": "US",
            "telephone_number": "888-468-0022",
            "fax_number": "541-504-3907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "GREG",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Claire Lee, RDN
• Christina Marie Lee, RN
• Courtney Lee, MS
• Derek James Lee, DPT, PT
• Gilbert B. Lee, M.D.
• James T Lee, PHARM.D.
• Jillian Lee
• Kristen Lee
• Teri Campbell Lee
• Travis Jack Lee, PTA

• General Practice Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.