DR. JORDAN GARRETT LEE (NPI# 1134612997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134612997 |
| Entity Type | Individual |
| Full Name | DR. JORDAN GARRETT LEE |
| Credential | DMD |
| Practice Address |
1150 Nw Maynard Rd Ste 120 Cary NC 27513-8709 |
| Mailing Address |
1100 Maroubra Loop Apt 1302 Cary NC 27513-8854 |
| Practice Telephone | 9194623350 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11045 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780160853 | Jordan Lee | Behavior Technician | 2760 Fieldstone Rd Unit B, Colorado Springs, CO 80919-3100 | 2018-07-12 |
| 1538532387 | Jordan Lee | Case Manager/Care Coordinator | 141 Tierra Del Sol, Hollister, CA 95023-6903 | 2015-11-02 |
| 1477116903 | Jordan Wing Lee | Pharmacist | 19424 Soledad Canyon Rd, Canyon Country, CA 91351-2631 | 2019-04-19 |
| 1801386735 | Jordan Lee | Physical Therapist | 65 Shenandoah Ave Ste 203, Daleville, VA 24083-3205 | 2018-05-16 |
| 1992235212 | Jordan Lee | Speech-Language Pathologist | 51a E 117th St, New York, NY 10035-4514 | 2017-06-19 |
| 1174847842 | Jordan Lee | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2010-03-24 |
| 1245446194 | Jordan Lederer Lee | Psychologist | 2323 21st Ave S, Suite 401, Nashville, TN 37212-4930 | 2007-05-15 |
| Street Address |
1150 NW MAYNARD RD STE 120 |
| City | CARY |
| State | NC |
| Zip Code | 27513-8709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124545017 | Tyler Lawrence Matthew Goodridge | Dentist | 1150 Nw Maynard Rd Ste 120, Cary, NC 27513-8709 | 2017-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525155 | Erikare At Home | In Home Supportive Care | 1750 Nw Maynard Road, Ste 100, Office 103, Cary, NC 27513 | 2020-07-13 |
| 1811527583 | Octavia Shada Allen | Behavior Technician | 15501 Western Parkway Suite 130, Cary, NC 27513 | 2020-01-22 |
| 1790249605 | Carolyn Ann Berlin | Nurse Practitioner | 3600 Northwest Cary Pkwy. Suite 104, Cary, NC 27513 | 2019-01-24 |
| 1346722550 | Wesley B Smith Dds Pa | Dentist | 130 Preston Executive Drive Suite 203, Cary, NC 27513 | 2018-09-04 |
| 1366920852 | Tsua Lor | Dentist | 3122 Lakeside View Ct, Cary, NC 27513 | 2018-08-06 |
| 1184133894 | Rebekah Lee Crisp | Occupational Therapist | Leagacy Healthcare Services At Searstone, 210 Walker Stone Drive, Cary, NC 27513 | 2017-09-26 |
| 1790203354 | Babies On The Move LLC | Physical Therapist | 100 Cavendish Dr, Cary, NC 27513 | 2017-09-05 |
| 1790157881 | Riccobene & Associates Xii, Dds, P.a. | Clinic/Center | 1203 Nw Maynard Road, Cary, NC 27513 | 2015-10-28 |
| 1508237413 | Riccobene & Associates Xv, Dds, P.a. | Clinic/Center | 1203 Northwest Maynard Road, Cary, NC 27513 | 2015-10-19 |
| 1104293356 | Katherine J Gooding | Audiologist-Hearing Aid Fitter | 301 Maynard Crossing Court, Cary, NC 27513 | 2015-08-24 |
| Find all providers in zip 27513 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037752 | Amanda Nguyen | Dentist | 1500 Piney Plains Rd, Cary, NC 27518-6898 | 2020-06-09 |
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1184254500 | Fuller & Associates Iv, P.a. | Dentist | 3420 Ten-ten Road #310, Cary, NC 27518-6101 | 2020-01-24 |
| 1437700143 | S. Gibree, D.m.d., P.C. | Dentist | 10236 Green Level Church Rd Ste 101, Cary, NC 27519-8232 | 2019-09-24 |
| 1548812068 | Isaac Jared Edwards | Dentist | 3761 Nw Cary Pkwy Ste 100, Cary, NC 27513-8438 | 2019-07-15 |
| 1003476821 | Minka Hotic | Dentist | 3731 Nw Cary Pkwy Ste 201, Cary, NC 27513-8436 | 2019-06-14 |
| 1629635834 | Sarah Elizabeth Strickland Myers | Dentist | 455 Swiftside Dr Ste 101, Cary, NC 27518-7200 | 2019-05-22 |
| 1386115293 | Luz E. Estrada, Dds, Pllc II | Dentist | 300 Ashville Ave Ste 270, Cary, NC 27518-8694 | 2018-12-17 |
| 1346722550 | Wesley B Smith Dds Pa | Dentist | 130 Preston Executive Drive Suite 203, Cary, NC 27513 | 2018-09-04 |
| 1366920852 | Tsua Lor | Dentist | 3122 Lakeside View Ct, Cary, NC 27513 | 2018-08-06 |
| Find all providers in CARY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.