Active NPI
Dong Sup Lee DMD Inc.
- General Practice Dentistry
- Harbor City, CA
National Provider Identifier
1871403006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DONG SUP LEE DMD INC.
- Practice address
- 26640 Western Ave Ste I
Harbor City, CA 90710-3659 - Phone
- (310) 325-8111
- NPI assigned
- Sep 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dong Sup Lee, DMD
- Title
- President
- Phone
- (804) 928-4695
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
26640 Western Ave Ste I
Harbor City, CA 90710-3659
Mailing address
446 W Central Ave
Brea, CA 92821
Phone (804) 928-4695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1871403006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 W CENTRAL AVE",
"city": "BREA",
"state": "CA",
"postal_code": "92821",
"telephone_number": "804-928-4695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26640 WESTERN AVE STE I",
"city": "HARBOR CITY",
"state": "CA",
"postal_code": "907103659",
"telephone_number": "310-325-8111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONG SUP LEE DMD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "DONG SUP",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "804-928-4695",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harbor City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.