Greg M Lee DMD PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D10330 Issued in OR

Legal business name

GREG M LEE DMD PC

Practice address

515 NE 4TH St
Bend, OR 97701-4955

Phone

(541) 382-0414

NPI assigned

Sep 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Greg M Lee, DMDNPI 1821474677

Title

Dentist, Owner

Phone

(503) 382-0414

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Greg Lee, D.M.D.

  • General Practice Dentistry
  • Bend, OR
  • NPI 1821474677
  NPD Authorized official
• James R Hammett, DMD

  • General Practice Dentistry
  • Bend, OR
  • NPI 1912010828
  NPD (past)

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861910077",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG M LEE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST, OWNER",
        "authorized_official_telephone_number": "503-382-0414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D10330",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greencab of Oregon, LLC
• Bryan J Greene
• Morgan Greenfield
• Delmar Lewis Greenleaf, MD
• M. Denea Greer, LMT
• Scout Fallon Gregerson, PA-C
• Sean Patrick Gregg, D.C.
• Lora Beth Gregory
• Karsyn Greinier
• Alyssa L Gremban, OTD, OTR/L

• Dental Clinic/Center in Bend, OR
• Providers in Bend, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.