JONATHON EVERETT LEE DDS INC NPI 1760594642

NPI Information

NPI: 1760594642
Provider Name: JONATHON EVERETT LEE DDS INC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1291 EAST HILLSDALE BLVD
SUITE 100
FOSTER CITY, CA
ZIP 94404
Phone: (650) 574-4447
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JONATHON EVERETT LEE DDS INC is a pediatric dentistry dentist in Foster City, 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. JONATHON EVERETT LEE DDS INC NPI is 1760594642. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1291 EAST HILLSDALE BLVD
SUITE 100
FOSTER CITY, CA
ZIP 94404
Phone: (650) 574-4447
Fax: (650) 574-4041

The provider's authorized official is Jonathon Everett Lee .
The authorized official title is President and has the following contact phone number (650) 574-4447.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	44730	CALIFORNIA	Yes
2	122300000X	Dentist		44730	CALIFORNIA	X
3	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	44730	CALIFORNIA	X

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

NPI Synchronization or Removal

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