Jacob K. Lee in San Clemente - Pediatric Dentistry
Jacob K. Lee - NPI 1083768725
Jacob K. Lee is a Pediatric Dentistry in San Clemente, California. Jacob K. Lee practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jacob K. Lee is 1083768725. The last update date is 2007-07-08.
Jacob K. Lee's current location address is 903 Calle Amanecer Ste 160, San Clemente, California. You can contact this provider via phone number 9493612838 and fax number 9493612838. The mailing address for Jacob K. Lee is 903 Calle Amanecer Ste 160, San Clemente, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob K. Lee |
|---|---|
| Address | 903 Calle Amanecer Ste 160, San Clemente, California |
| Phone Number | 9493612838 |
| Fax Number | 9493612838 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1083768725 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 903 Calle Amanecer Ste 160 |
|---|---|
| City | San Clemente |
| State | California (CA) |
| Post Code | 926736272 |
| Phone Number | 9493612838 |
| Fax Number | 9493612838 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 38710 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 330880247 | CA | FEID |
Post Comment/ Review Below
What is the Jacob K. Lee's 1083768725?
The Jacob K. Lee's NPI (National Provider Identifier) Number is 1083768725. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jacob K. Lee's physical address?
The Jacob K. Lee is physically located at 903 Calle Amanecer Ste 160, in the city of San Clemente, CA, with the postal code 926736272.
What is the Jacob K. Lee's area of specialization and corresponding taxonomy classification?
The Jacob K. Lee's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
When did the Jacob K. Lee receive its 1083768725?
The Jacob K. Lee was issued its 1083768725 on 2007-01-22, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Jacob K. Lee most recently updated or revised?
The information pertaining to Jacob K. Lee, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA