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JASON S LEE DDS INC NPI 1912052978


NPI Information

NPI: 1912052978
Provider Name: JASON S LEE DDS INC

Doing Business As: SIGNATURE DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1183 E FOOTHILL BLVD
UNIT 240
UPLAND, CA
ZIP 91786
Phone: (909) 981-6882
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JASON S LEE DDS INC is a general practice dentist in Upland, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JASON S LEE DDS INC NPI is 1912052978. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Signature Dental Group.

The provider's business location address is:

1183 E FOOTHILL BLVD
UNIT 240
UPLAND, CA
ZIP 91786-049
Phone: (909) 981-6882
Fax: (909) 981-0276

The provider's authorized official is Jason S Lee .
The authorized official title is Ceo and has the following contact phone number (909) 910-8282.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 12/28/2008.


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 PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101604010OTHERCALIFORNIAUNITED CONCORDIA NUMBER
2G98378-01OTHERCALIFORNIADELTA HEALTHY FAMILY
3247386OTHERCALIFORNIADELTA DENTAL # FOR UPLAND
4G93055-01MEDICAIDCALIFORNIA

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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