DEREK L LEE (NPI# 1205090503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205090503 |
| Entity Type | Individual |
| Full Name | DEREK L LEE |
| Credential | DMD |
| Practice Address |
17 E Hospital St Manning SC 29102-3152 |
| Mailing Address |
Po Box 428 Manning SC 29102-0428 |
| Practice Telephone | 8034338090 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4463 | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396116596 | Derek Lee | Physical Therapist | 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703-4796 | 2015-10-13 |
| 1790042083 | Derek Lee | Radiologic Technologist | 28322 N 223rd Ln, Wittmann, AZ 85361-8780 | 2012-04-12 |
| 1083235386 | Derek Lee | Student in an Organized Health Care Education/Training Program | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2020-04-28 |
| 1962045849 | Derek Chalmer Lee | Counselor | 3171 N Meridian St, Indianapolis, IN 46208-4784 | 2019-10-23 |
| 1073083549 | Derek Lee | Physical Therapist | 143 E 34th St, New York, NY 10016-4713 | 2018-11-27 |
| 1891273173 | Derek Dongsuk Lee | Pharmacist | 705 E Mcdowell Rd, Pharmacy, Phoenix, AZ 85006-2519 | 2018-07-30 |
| 1639667553 | Derek Justin Lee | Student in an Organized Health Care Education/Training Program | 90 S Main St, Middletown, CT 06457-3649 | 2018-04-26 |
| 1336636273 | Derek Lee | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2059 | 2018-04-17 |
| 1831619766 | Derek Lee | Counselor | 100 Asma Blvd Ste 200, Lafayette, LA 70508-3868 | 2017-06-21 |
| 1801335757 | Derek Timothy Lee | Pharmacist | 20940 Burbank Blvd, Woodland Hills, CA 91367-6601 | 2017-02-13 |
| Street Address |
17 E HOSPITAL ST |
| City | MANNING |
| State | SC |
| Zip Code | 29102-3152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740445253 | Clarendon Family Dentistry Inc | Dentist | 17 E Hospital St, Manning, SC 29102-3152 | 2008-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720546138 | Dental Wellness Center of Manning, LLC | Clinic/Center | 1988 Paxille Hwy, Ste 613-01, Manning, SC 29102 | 2019-03-05 |
| 1982148433 | Allison Elaine Saran | Registered Nurse | Mcleod Women's Health, 50 East Hospital Street Suite 4a, Manning, SC 29102 | 2016-12-16 |
| 1629529698 | Clarendon Behavioral Health | Health Maintenance Organization | 14 N. Church Street, Manning, SC 29102 | 2016-10-14 |
| 1396158200 | Monica Ploetzke | Obstetrics & Gynecology | 50 E Hospital St Ste 4a, Manning, SC 29102 | 2014-06-09 |
| 1336567239 | Marian Moody | Registered Nurse | 110 Boyce Street, Dhec Clarendon County Health Dept, Manning, SC 29102 | 2014-03-29 |
| 1700212420 | Southern Lakes Therapy,llc | Physical Therapist | 297 W Boyce St, Manning, SC 29102 | 2013-09-26 |
| 1902190473 | Professional Care of Manning, LLC | In Home Supportive Care | 220 West Boyce St, Manning, SC 29102 | 2011-06-02 |
| 1275789810 | Vital Care Ambulance Service, LLC. | Ambulance | 3662 Greeleyville Hwy, Manning, SC 29102 | 2008-08-14 |
| 1831384015 | Ramona J Howard | Registered Nurse | 10 E. Hospital Street, Hospitalist Department, Manning, SC 29102 | 2007-09-11 |
| 1619098670 | H P Bozard Dds Pa | Dentist | 17 East Hospital Street, Manning, SC 29102 | 2007-04-03 |
| Find all providers in zip 29102 | ||||
| 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 |
|---|---|---|---|---|
| 1740614858 | Smile Center Manning | Dentist | 416 W Boyce St, Manning, SC 29102-2616 | 2013-08-26 |
| 1740445253 | Clarendon Family Dentistry Inc | Dentist | 17 E Hospital St, Manning, SC 29102-3152 | 2008-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558057 | Roberto Selonk Buechele | Dentist | 460 Killian Rd Ste 1, Columbia, SC 29203-9742 | 2020-11-02 |
| 1396342762 | Leonard James Cochrane IIi | Dentist | 150 Bee St Apt 706, Charleston, SC 29401-5706 | 2020-10-07 |
| 1134735129 | Kidz Planet Pediatric Dentistry - Sda Pa | Dentist | 960 Ribaut Rd Ste 3, Beaufort, SC 29902-5434 | 2020-09-16 |
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1922624618 | Todays Dental At Lexington LLC | Dentist | 458 Old Cherokee Rd Ste 100, Lexington, SC 29072-6971 | 2020-06-18 |
| 1912522426 | Andrea Ballengee | Dentist | 4405 Highway 17, Murrells Inlet, SC 29576-5097 | 2020-06-10 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1750919718 | Destination Dental LLC | Dentist | 155 Deacon Tiller Ct Ste 101, Duncan, SC 29334-8880 | 2020-03-27 |
| 1194360024 | Affordable Dentures & Implants - Orangeburg, P.C. | Dentist | 1532 Saint Matthews Rd, Orangeburg, SC 29118-2437 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
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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.