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DR SAMUEL LEE DENTAL CORP NPI 1528410123


NPI Information

NPI: 1528410123
Provider Name: DR SAMUEL LEE DENTAL CORP

Doing Business As: INTERNATIONAL ACADEMY OF DENTAL IMPLANT

Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
6727 FLANDERS DR STE 220
SAN DIEGO, CA
ZIP 92121
Phone: (858) 229-9869
Get Directions

DR SAMUEL LEE DENTAL CORP is a periodontics dentist in San Diego, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR SAMUEL LEE DENTAL CORP NPI is 1528410123. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As International Academy Of Dental Implant.

The provider's business location address is:

6727 FLANDERS DR STE 220
SAN DIEGO, CA
ZIP 92121-926
Phone: (858) 229-9869

The provider's authorized official is Samuel S Lee .
The authorized official title is President and has the following contact phone number (714) 718-3446.

The enumeration date for this NPI number is 7/7/2016 and was last updated on 7/7/2016.


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
1122300000XDentist58462CALIFORNIANo
21223P0300XDentistPeriodontics51353CALIFORNIAYes

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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