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BADII LEE DENTAL CORPORATION INC NPI 1548652688


NPI Information

NPI: 1548652688
Provider Name: BADII LEE DENTAL CORPORATION, INC

Doing Business As: SMILE WIDE

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
25733 BARTON RD
LOMA LINDA, CA
ZIP 92354
Phone: (909) 798-2755
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BADII LEE DENTAL CORPORATION, INC is a pediatric dentistry dentist in Loma Linda, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. BADII LEE DENTAL CORPORATION, INC NPI is 1548652688. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Smile Wide.

The provider's business location address is:

25733 BARTON RD
LOMA LINDA, CA
ZIP 92354-812
Phone: (909) 798-2755
Fax: (909) 307-2098

The provider's authorized official is Daniel H Lee .
The authorized official title is President and has the following contact phone number (909) 798-2755.

The enumeration date for this NPI number is 2/26/2015 and was last updated on 11/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeNo
21223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
31223P0221XDentistPediatric DentistryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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