Organization Active NPI

Robert Jun Lee DDS PLLC

  • General Practice Dentistry
  • Lynnwood, WA
National Provider Identifier
1881054443
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60221116 Issued in WA
Legal business name
ROBERT JUN LEE DDS PLLC
Doing business as
Alderwood Family Dental
Practice address
18505 Alderwood Mall Pkwy
Ste D
Lynnwood, WA 98037-8012
Phone
(425) 329-6677
NPI assigned
Feb 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Robert Lee, DDS
Title
Owner/Dentist
Phone
(832) 349-6286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DE60221116 WA Primary

Addresses

Primary practice location

18505 Alderwood Mall Pkwy
Ste D
Lynnwood, WA 98037-8012

Mailing address

18505 Alderwood Mall Pkwy
Ste D
Lynnwood, WA 98037-8012
Phone (425) 329-6677

Other names 1

  • Alderwood Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

18505 Alderwood Mall Pkwy
Ste D
Lynnwood, WA 98037
Phone (425) 712-0800

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1881054443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18505 ALDERWOOD MALL PKWY",
            "address_2": "STE D",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378012",
            "telephone_number": "425-329-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18505 ALDERWOOD MALL PKWY",
            "address_2": "STE D",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378012",
            "telephone_number": "425-329-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT JUN LEE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "832-349-6286",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60221116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alderwood Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.