Minnesota Lee Dental Clinic, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12317 Issued in MN

Legal business name

MINNESOTA LEE DENTAL CLINIC, P.C.

Practice address

6240 Quinwood LN N Ste 102
Maple Grove, MN 55369

Phone

(763) 391-7522

NPI assigned

Jun 26, 2008

Last updated

Sep 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ho Young Lee, D.D.S.

Title

Owner

Phone

(763) 391-7522

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Ho Young Lee, D.D.S.

  • General Practice Dentistry
  • Maple Grove, MN
  • NPI 1770629438
  NPD

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1932361474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 QUINWOOD LN N STE 102",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696384",
            "telephone_number": "763-391-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 QUINWOOD LN N STE 102",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "55369",
            "telephone_number": "763-391-7522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7767 Elm Creek Blvd N",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553697041",
            "country_code": "US",
            "telephone_number": "763-391-7522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINNESOTA LEE DENTAL CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HO YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-391-7522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760030000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Minnesota Dental Professionals, P.C.
• Minnesota Diagnostic Imaging Partners, LLC (Maple Grove Imaging Center)
• Minnesota Early Autism Project
• Minnesota Excellence in Learning Academy
• Minnesota Family Psychological Services LLC
• Minnesota Neonatal Physicians PA
• Minnesota Neonatal Specialists PLLC
• Minnesota Oncology Hematology PA
• Minnesota Oncology Hematology PA (MN Cancer Care Pharmacy)
• Minnesota Vein Specialists

• General Practice Dentistry in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.