Milwaukie Emergency Dentist LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D9672 Issued in OR

Legal business name

MILWAUKIE EMERGENCY DENTIST LLC

Practice address

18807 SE McLoughlin Blvd
Milwaukie, OR 97267-6735

Phone

(503) 305-6269

NPI assigned

Jun 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Byung-Il Lee, DMD

Title

Dentist

Phone

(503) 305-6269

Specialties & licenses 1

Addresses

Other names 1

• Sunrise Dental of Milwaukie Other name

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1902391816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15595 SE PIONEER DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157323",
            "telephone_number": "360-910-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18807 SE MCLOUGHLIN BLVD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972676735",
            "telephone_number": "503-305-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKIE EMERGENCY DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BYUNG-IL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-305-6269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D9672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Dental of Milwaukie",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pamela M Miller, OCCUPATIONAL THERAPI
• Sean Anthony Miller, PHYS THERAPIST ASST
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• Milwaukie Convalescent Hospital Inc
• Milwaukie Orthopedic Service Inc
• Milwaukie Spine and Sport, LLC
• Milwaukie Urgent Care
• Clark Miner, BS, CADC2, QMHA2,
• Hera Minoza

• All providers in Milwaukie, OR
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.