NPIMap

Organization Active NPI

Hong and Lee Dental Corporation

Doing business as Fullerton Pediatric Dentistry & Anesthesia Center

  • Pediatric Dentistry
  • Fullerton, CA
National Provider Identifier
1871624387
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
44807 Issued in CA
Legal business name
HONG AND LEE DENTAL CORPORATION
Doing business as
Fullerton Pediatric Dentistry & Anesthesia Center
Practice address
100 E Valencia Mesa Dr
Suite 102
Fullerton, CA 92835-3813
Phone
(714) 992-5437
Fax
(714) 870-3085
NPI assigned
Mar 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard S Lee, DMDNPI 1902932338
Title
President
Phone
(714) 992-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 44807 CA Primary

Addresses

Primary practice location

100 E Valencia Mesa Dr
Suite 102
Fullerton, CA 92835-3813

Mailing address

100 E Valencia Mesa Dr
Suite 102
Fullerton, CA 92835-3813
Phone (714) 992-5437

Other names 1

  • Fullerton Pediatric Dentistry & Anesthesia Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fullerton Pediatric Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 E Valencia Mesa Dr
Ste 102
Fullerton, CA 92835
Phone (714) 992-5437

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871624387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E VALENCIA MESA DR",
            "address_2": "SUITE 102",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353813",
            "telephone_number": "714-992-5437",
            "fax_number": "714-870-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E VALENCIA MESA DR",
            "address_2": "SUITE 102",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353813",
            "telephone_number": "714-992-5437",
            "fax_number": "714-870-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONG AND LEE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-992-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "44807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fullerton Pediatric Dentistry & Anesthesia Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.