Organization Active NPI

Dong S Lee DDS PA

  • General Practice Dentistry
  • Fort Washington, MD
National Provider Identifier
1952462962
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D07702 Issued in MD
Legal business name
DONG S LEE DDS PA
Practice address
809 East Swan Creek Rd
Ft Washington, MD 20744
Phone
(301) 292-5800
Fax
(301) 292-5180
NPI assigned
Dec 13, 2006
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
Dong S Lee, DDSNPI 1306242078
Title
President Dentist
Phone
(301) 292-5800

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D07702 MD Primary

Addresses

Primary practice location

809 East Swan Creek Rd
Ft Washington, MD 20744

Mailing address

809 East Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-5800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952462962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 EAST SWAN CREEK RD",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "20744",
            "telephone_number": "301-292-5800",
            "fax_number": "301-292-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 EAST SWAN CREEK RD",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "20744",
            "telephone_number": "301-292-5800",
            "fax_number": "301-292-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONG S LEE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DONG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "301-292-5800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "D07702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

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.