Organization Active NPI

Sangeun Lee Dental Practice

  • Dental Clinic/Center
  • Colton, CA
National Provider Identifier
1821654831
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SANGEUN LEE DENTAL PRACTICE
Practice address
1265 N la Cadena Dr
Colton, CA 92324-2418
Phone
(909) 851-7323
NPI assigned
May 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Authorized official

Name
Sangeun Lee
Title
Ceo
Phone
(909) 851-7323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1265 N la Cadena Dr
Colton, CA 92324-2418

Mailing address

25441 Huron St
Loma Linda, CA 92354-3610
Phone (909) 851-7323

National Provider Directory

National Provider Directory

Locations

1265 N La Cadena Dr
Colton, CA 92324
Phone (909) 851-7323

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1821654831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25441 HURON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543610",
            "telephone_number": "909-851-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 N LA CADENA DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242418",
            "telephone_number": "909-851-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGEUN LEE DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SANGEUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-851-7323"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.