Individual provider Active NPI

Bruce W Lee, D.D.S.

  • General Practice Dentistry
  • Safford, AZ
National Provider Identifier
1982681011
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
106350 Issued in CO
Practice address
795 S 20TH Ave
Safford, AZ 85546-3322
Phone
(928) 428-2750
NPI assigned
Dec 29, 2005
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D011697 AZ
General Practice Dentistry 1223G0001X 106350 CO Primary

Addresses

Primary practice location

795 S 20TH Ave
Safford, AZ 85546-3322

Mailing address

3175 W Church St
Thatcher, AZ 85552-5667
Phone (720) 244-9337

Other practice location 1

400 N Hwy 90 Byp Ste C2
Sierra Vista, AZ 85635-2293
Phone (520) 459-2200

Other practice location 2

13590 Roller Coaster Rd Ste 100
Colorado Springs, CO 80921-2155
Phone (719) 623-1710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D011697AZMDGeneral Practice Dentistry
106350COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Dental Professionals, LLC General Practice CurrentSince Sep 1, 2025 Accepting new patients
Arizona Dental Professionals, P.C. General Practice PastSince Apr 20, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1982681011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 W CHURCH ST",
            "city": "THATCHER",
            "state": "AZ",
            "postal_code": "855525667",
            "telephone_number": "720-244-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 S 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855463322",
            "telephone_number": "928-428-2750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Hwy 90 Byp Ste C2",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856352293",
            "country_code": "US",
            "telephone_number": "520-459-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13590 Roller Coaster Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809212155",
            "country_code": "US",
            "telephone_number": "719-623-1710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRUCE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011697",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "106350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.