DR. JUDYTH GRACE LEE (NPI# 1699189431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699189431 |
| Entity Type | Individual |
| Full Name | DR. JUDYTH GRACE LEE |
| Credential | DMD |
| Practice Address |
430 N El Camino Real San Mateo CA 94401 |
| Mailing Address |
353 King St Apt 507 San Francisco CA 94158-1680 |
| Practice Telephone | 6507273480 |
| Mailing Telephone | 7069882187 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DDS103376 | CA | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
058674 | NY | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
22DI02638100 | NJ | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 W Broadway, Paterson, NJ 075051014 | 8453693703 | |
| 520 Lennon Ln Ste A, Walnut Creek, CA 945982415 | 9259309390 |
| Street Address |
430 N EL CAMINO REAL |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144604000 | Christian Brennan | Dental Hygienist | 430 N El Camino Real, San Mateo, CA 94401-3710 | 2015-07-09 |
| 1427431618 | Kimberly Adams | Dental Hygienist | 430 N El Camino Real, San Mateo, CA 94401-3710 | 2015-07-07 |
| 1639550445 | Elizabeth Newell | Dental Hygienist | 430 N El Camino Real, San Mateo, CA 94401-3710 | 2015-06-17 |
| 1205228830 | Apple Tree Dental California, LLC | Clinic/Center | 430 N El Camino Real, San Mateo, CA 94401-3710 | 2015-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639590003 | Peninsula Pediatric Dental Practice | Dentist | 50 S San Mateo Dr Ste 160, San Mateo, CA 94401-3859 | 2014-01-02 |
| 1780899260 | Lerida Felizardo Lipumano-picazo | Dentist | 800 South B St., Suite 200, San Mateo, CA 94401 | 2007-05-10 |
| 1548489255 | Terrence Y. Lau | Dentist | 121 N San Mateo Dr, San Mateo, CA 94401-2708 | 2007-04-24 |
| 1659479137 | Laleh Vakili | Dentist | 1700 S El Camino Real, Suite 110, San Mateo, CA 94402-3047 | 2006-09-20 |
| 1407110190 | Karen Lam Kishiyama | Dentist | 1700 S El Camino Real, Suite 110, San Mateo, CA 94402-3047 | 2012-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 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.