DR. GLORIA LEE (NPI# 1730474511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730474511 |
| Entity Type | Individual |
| Full Name | DR. GLORIA LEE |
| Credential | DDS |
| Practice Address |
5341 W Fond Du Lac Ave Milwaukee WI 53216-1365 |
| Mailing Address |
7700 Portland Ave Apt 124 Wauwatosa WI 53213-3187 |
| Practice Telephone | 4148710827 |
| Mailing Telephone | 6466837938 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
1002413-15 | WI | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
058959-1 | NY | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DS038846 | PA | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
1002413-15 | WI | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2000 Linwood Ave Apt 5y, Fort Lee, NJ 070243004 | 6466837938 | |
| 2280 W Mason St, Green Bay, WI 543034707 | 9203213501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649808593 | Gloria Lee | Student in an Organized Health Care Education/Training Program | 101 Nicolls Rd Rm 34, Stony Brook, NY 11794-8101 | 2020-03-27 |
| 1609397587 | Gloria A Lee | Specialist | 508 Court St, Brooklyn, NY 11231-4426 | 2017-06-30 |
| 1639297153 | Gloria Eunsook Lee | Acupuncturist | 520 S Virgil Ave Ste 305, Los Angeles, CA 90020-1425 | 2007-03-26 |
| 1740382571 | Gloria L. Lee | Marriage & Family Therapist | 400 Baptiste Way, La Canada, CA 91011-2600 | 2006-09-02 |
| 1952394025 | Gloria Lo Lee | Internal Medicine | 1000 Newbury Rd Ste 130, Newbury Park, CA 91320-6437 | 2005-08-24 |
| 1780200048 | Gloria B Lee | Social Worker | 101 Lena Dr, Rogersville, TN 37857-2951 | 2020-06-23 |
| 1396393278 | Gloria Anngy Lee | Pharmacist | 306 E Pacific Coast Hwy, Long Beach, CA 90806-6259 | 2019-09-03 |
| 1740634591 | Gloria Lee | Pediatrics | 550 16th St Fl 4, San Francisco, CA 94143-2549 | 2016-04-19 |
| 1992191043 | Gloria Lee | Student in an Organized Health Care Education/Training Program | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219 | 2015-04-15 |
| 1538557517 | Gloria Lee | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2014-12-29 |
| Street Address |
5341 W FOND DU LAC AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942812938 | Brent Ito | Dentist | 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 | 2020-08-20 |
| 1871103135 | Kevin H Nguyen | Dentist | 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 | 2020-08-03 |
| 1649888363 | Ashley Le Nguyen | Dentist | 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 | 2020-07-20 |
| 1235785361 | Jake Son | Dentist | 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 | 2019-08-14 |
| 1184152167 | Shameena Singh | Dentist | 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 | 2017-06-02 |
| 1467801258 | Sunjoo Park | Dentist | 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 | 2016-06-13 |
| 1982086955 | Familia Dental Mkemidtown LLC | Dentist | 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 | 2015-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588042154 | Bubon & Associates, Orthodontics, Sc | Dentist | 4950 S 27th St, Milwaukee, WI 53221-2606 | 2015-05-14 |
| 1750638664 | Vincent J Hansen | Dentist | 1135 South Cesar E Chavez Dr., Milwaukee, WI 53204-2266 | 2012-08-09 |
| 1316181969 | Christopher Thieu Lai | Dentist | 1653 N Jackson St, 201, Milwaukee, WI 53202-2098 | 2009-04-27 |
| 1568581221 | Jeffrey Ronald Olson | Dentist | 4611 N Oakland Ave, Milwaukee, WI 53211-1265 | 2007-03-27 |
| 1205441490 | Ayas Makki | Dentist | 1300 W Lincoln Ave, Milwaukee, WI 53215-3127 | 2020-09-14 |
| 1740731850 | Ghada Nimeri | Dentist | 1801 W. Wisconsin Ave, Room 1456, Milwaukee, WI 53233-2186 | 2016-10-24 |
| 1780062349 | Bubon & Associates, Orthodontics, Sc | Dentist | 3814 S Howell Ave, Milwaukee, WI 53207-3841 | 2015-05-14 |
| 1639510746 | Dawei Liu | Dentist | 1801 W Wisconsin Ave, Dental School, Room 364, Milwaukee, WI 53233-2186 | 2013-07-17 |
| 1154568228 | Jose A Bosio | Dentist | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2009-01-12 |
| 1023239126 | Robert B Schlamer | Dentist | 4220 S 27th St, Milwaukee, WI 53221-1855 | 2007-05-02 |
| Find all providers in MILWAUKEE | ||||
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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.