Jean Lee DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56137 Issued in CA

Legal business name

JEAN LEE DDS INC

Practice address

11998 Foothill Blvd
Sylmar, CA 91342-7101

Phone

(818) 897-5055

NPI assigned

Feb 24, 2012

Last updated

Aug 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jean LeeNPI 1306030465

Title

Owner/Dentist

Phone

(818) 897-5055

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jean Lee

  • Dentist
  • Sylmar, CA
  • NPI 1306030465
  NPD (past) Authorized official

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1861766768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17405 SMOKE TREE LN",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913873704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11998 FOOTHILL BLVD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913427101",
            "telephone_number": "818-897-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN LEE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "818-897-5055",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James McCaffery MD a Professional Corp (Glendale Eye Medical Group, Inc.)
• Jamie Fowler LCSW Inc
• Alejandro Jaramillo
• Lesly Alejandra Jaras
• Amer Jawich, RPH
• Shuayb Jeerooburkhan
• Zoe Jordan Jeffries, MD
• Arthur Jeng, M.D.
• Hyoung Man Jeon
• Il Seok Daniel Jeong

• General Practice Dentistry in Sylmar, CA
• Providers in Sylmar, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.