NPIMap

Organization Active NPI

A Wink and a Smile Denitst PLLC

Doing business as a wink and a smile

  • Dentist
  • Lansdowne, VA
National Provider Identifier
1952593899
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401410650 Issued in VA
Legal business name
A WINK AND A SMILE DENITST PLLC
Doing business as
a wink and a smile
Practice address
19369 Promenade Dr
K102
Lansdowne, VA 20176-6501
Phone
(571) 333-1250
Fax
(571) 333-1251
NPI assigned
Aug 14, 2007
Last updated
Dec 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Dr. Leonardo Eun Lee, D.M.DNPI 1265510697
Title
Owner
Phone
(571) 333-1250

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
Dentist 122300000X 0401410650 VA Primary

Addresses

Primary practice location

19369 Promenade Dr
K102
Lansdowne, VA 20176-6501

Mailing address

19369 Promenade Dr
K102
Lansdowne, VA 20176-6501
Phone (571) 333-1250

Other names 1

  • a wink and a smile Doing business as

National Provider Directory

National Provider Directory

Locations

19369 Promenade Dr
#K102
Leesburg, VA 20176
Phone (571) 333-1250

Practitioners & affiliated clinicians

Practitioners 2

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": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1952593899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19369 PROMENADE DR",
            "address_2": "K102",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201766501",
            "telephone_number": "571-333-1250",
            "fax_number": "571-333-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19369 PROMENADE DR",
            "address_2": "K102",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201766501",
            "telephone_number": "571-333-1250",
            "fax_number": "571-333-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WINK AND A SMILE DENITST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_middle_name": "EUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-333-1250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "a wink and a smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansdowne, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.