BADII LEE DENTAL CORPORATION, INC. (NPI# 1174913834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174913834 |
| Entity Type | Organization |
| Organization Name | BADII LEE DENTAL CORPORATION, INC. |
| Other Organization Name | SMILE WIDE |
| Practice Address |
3680 E Imperial Hwy Suite 100 Lynwood CA 90262-2663 |
| Mailing Address |
19762 Macarthur Blvd. 100 Irvine CA 92612-8275 |
| Practice Telephone | 3107618100 |
| Practice Fax Number | 3107618105 |
| Mailing Telephone | 9495968100 |
| Mailing Fax Number | 5624249807 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | DANIEL HARVEY LEE (PRESIDENT) |
| Authorized Official Telephone | 9495968100 |
| Authorized Official Credential | DDS, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 56861 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Smile Wide | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619411329 | Badii Lee Dental Corporation, Inc. | Dentist | 172 E Carson St, Carson, CA 90745-2702 | 2016-12-14 |
| 1720459506 | Badii Lee Dental Corporation, Inc. | Dentist | 1920 Main Street, Suite 970, Irvine, CA 92614 | 2015-10-19 |
| 1972993467 | Badii Lee Dental Corporation, Inc. | Dentist | 12828 Harbor Blvd., Suite 340, Garden Grove, CA 92840-5833 | 2015-02-04 |
| 1932599412 | Badii Lee Dental Corporation, Inc. | Dentist | 2839 N Eastern Ave, Los Angeles, CA 90032-2701 | 2015-02-04 |
| 1225428717 | Badii Lee Dental Corporation, Inc. | Dentist | 1001 W Carson St Ste H, Torrance, CA 90502-2051 | 2015-02-04 |
| 1063802551 | Badii Lee Dental Corporation, Inc. | Dentist | 710 S Brookhurst Street, Suite O, Anaheim, CA 92804-4321 | 2015-02-04 |
| 1023408507 | Badii Lee Dental Corporation, Inc. | Dentist | 3325 Palo Verde Avenue, Suite 208, Long Beach, CA 90808-4132 | 2015-02-04 |
| 1659761294 | Badii Lee Dental Corporation, Inc. | Dentist | 14600 Sherman Way, Suite 100b, Van Nuys, CA 91405-5867 | 2015-02-04 |
| 1114317690 | Badii Lee Dental Corporation, Inc. | Dentist | 4024 12th St, Riverside, CA 92501-3561 | 2015-02-04 |
| 1407246994 | Badii Lee Dental Corporation, Inc. | Dentist | 1111 W 6th Street, Suite 120, Los Angeles, CA 90017-1823 | 2015-02-04 |
| Street Address |
3680 E IMPERIAL HWY SUITE 100 |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262-2663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104823814 | Ricardo Enrique Mckenzie | Internal Medicine | 3680 E Imperial Hwy, Suite 470, Lynwood, CA 90262-2659 | 2005-07-07 |
| 1326684697 | Charlene Alugbue | Counselor | 3680 E Imperial Hwy, Lynwood, CA 90262-2659 | 2019-11-21 |
| 1518450451 | Tyrone Ledford | Case Manager/Care Coordinator | 3680 E Imperial Hwy, Lynwood, CA 90262-2659 | 2018-06-13 |
| 1184130718 | Brisa Aidee Aguilar | Case Manager/Care Coordinator | 3680 E Imperial Hwy, Lynwood, CA 90262 | 2017-12-19 |
| 1588184022 | Tiffany Martinez | Case Manager/Care Coordinator | 3680 E Imperial Hwy, Lynwood, CA 90262-2659 | 2017-06-26 |
| 1942741798 | Western Dental Services, Inc. | Dentist | 3680 E Imperial Hwy, Suite 100, Lynwood, CA 90262-2659 | 2017-03-13 |
| 1033666565 | Fabby Badillo Contreras | Rehabilitation Practitioner | 3680 E Imperial Hwy, Suite 520, Lynwood, CA 90262 | 2016-09-01 |
| 1003267154 | Yvette Trujillo | Rehabilitation Practitioner | 3680 E Imperial Hwy, Lynwood, CA 90262-2659 | 2016-06-29 |
| 1407205420 | Kimberly Maldonado | Rehabilitation Practitioner | 3680 E Imperial Hwy, Lynwood, CA 90262-2659 | 2016-06-09 |
| 1699137893 | Mayra Lucas | Rehabilitation Practitioner | 3680 E Imperial Hwy, Lynwood, CA 90262-2659 | 2016-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
| Find all providers in zip 90262 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598327710 | Natasha Elloway | Dentist | 11035 Long Beach Blvd # 5, Lynwood, CA 90262-2570 | 2019-07-09 |
| 1427576313 | Western Dental Services, Inc. | Dentist | 10900 Long Beach Blvd Ste 105, Lynwood, CA 90262-2686 | 2017-08-31 |
| 1841601192 | Erika Gomez | Dentist | 3737 Martin Luther King Blvd, Suite 106, Lynwood, CA 90262-3524 | 2014-05-08 |
| 1831458637 | Greenvalley Oral Care | Dentist | 3516 Martin Luther King Blvd. Suite 7, Lynwood, CA 90262 | 2012-05-14 |
| 1851537179 | Raymond M. Tash, Dds, Apc | Dentist | 9950 Long Beach Blvd, Lynwood, CA 90262-1503 | 2008-12-17 |
| 1487810685 | Dentist At Your Door LLC | Dentist | 19512 Sequoia Ave, Lynwood, IL 60411-6825 | 2008-08-06 |
| 1689897720 | Daniel Elenes | Dentist | 11330 Long Beach Blvd, Suite #100, Lynwood, CA 90262-3340 | 2007-04-10 |
| 1851417653 | Tsai, Hsiao & Loo Dental Corporation | Dentist | 3680 E. Imperial Hwy, #100, Lynwood, CA 90262-2663 | 2007-03-22 |
| 1760022511 | Sung Y. Lee Dmd Inc | Dentist | 9950 Long Beach Blvd, Lynwood, CA 90262-1503 | 2020-01-09 |
| 1437644150 | Kevin Abraham Elgrichi | Dentist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2018-06-25 |
| Find all providers in LYNWOOD | ||||
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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.