JASON S LEE DDS INC (NPI# 1912052978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912052978 |
| Entity Type | Organization |
| Organization Name | JASON S LEE DDS INC |
| Other Organization Name | SIGNATURE DENTAL GROUP |
| Practice Address |
1183 E Foothill Blvd Unit 240 Upland CA 91786-4049 |
| Practice Telephone | 9099816882 |
| Practice Fax Number | 9099810276 |
| Mailing Telephone | 9099816882 |
| Mailing Fax Number | 9099810276 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-12-28 |
| Authorized Official Name | DR. JASON S LEE (CEO) |
| Authorized Official Telephone | 9099108282 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G93055-01 | 05 | |
| CA | DELTA DENTAL # FOR UPLAND | 247386 | 01 |
| CA | DELTA HEALTHY FAMILY | G98378-01 | 01 |
| CA | UNITED CONCORDIA NUMBER | 01604010 | 01 |
| Other Name | Type Code |
|---|---|
| Signature Dental Group | Doing Business As Name - Organization |
| Street Address |
1183 E FOOTHILL BLVD UNIT 240 |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-4049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700866894 | Max Vinco Soliguen | Pediatrics | 1183 E Foothill Blvd, Suite 230, Upland, CA 91786 | 2006-01-17 |
| 1114467883 | Kaiser Permanente Pharmacy | Health Maintenance Organization | 1183 E Foothill Blvd, First Floor, Upland, CA 91786-4079 | 2017-03-01 |
| 1710426739 | Kaiser Permanente | Clinic/Center | 1183 E Foothill Blvd, Upland, CA 91786-4079 | 2017-02-23 |
| 1528456050 | Toni Marie Reyes | Nurse Practitioner | 1183 E Foothill Blvd, Ste 135, Upland, CA 91786-4079 | 2015-01-06 |
| 1922324086 | Centrelake Medial Group Inc | Radiology | 1183 E Foothill Blvd, Suite 235, Upland, CA 91786-4079 | 2010-04-14 |
| 1801039458 | Nadia Khan | Family Medicine | 1183 E Foothill Blvd, Upland, CA 91786-4079 | 2009-04-13 |
| 1528250412 | Smileneeds Dental | Dentist | 1183 E Foothill Blvd, Suite150, Upland, CA 91786-4079 | 2007-08-14 |
| 1407972490 | Rubina Aqeel | Internal Medicine | 1183 E Foothill Blvd, Suite 260, Upland, CA 91786-4049 | 2007-03-21 |
| 1528112257 | Jason S Lee | Dentist | 1183 E Foothill Blvd, Unit 240, Upland, CA 91786-4049 | 2007-01-22 |
| 1942352703 | Fiona C Chan | Dentist | 1183 E Foothill Blvd, Unit 240, Upland, CA 91786-4049 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| 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 |
|---|---|---|---|---|
| 1427401421 | Carmen Cheung | Dentist | 300 E 7th St Ste 2g, Upland, CA 91786-6778 | 2016-07-14 |
| 1275958704 | Jeyashree Krishnan | Dentist | 77 E 7th St Ste A, Upland, CA 91786-6601 | 2014-02-20 |
| 1497080246 | Eze Dental Coporation | Dentist | 121 W Foothill Blvd, Suite E, Upland, CA 91786-3890 | 2009-10-13 |
| 1932331246 | Martin W. Laksana Dds Inc | Dentist | 130 S. Mountain Ave., #g, Upland, CA 91786-6269 | 2009-08-20 |
| 1609018100 | Ma. Theresa M. Ramos Dmd Inc | Dentist | 1125 E 16th St Ste 6, Upland, CA 91784-9180 | 2009-03-30 |
| 1588825863 | Mehrdad Noori | Dentist | 1838 N Euclid Ave, Upland, CA 91784-1600 | 2008-06-19 |
| 1366614554 | Sean Cecil Lee | Dentist | 440 N Mountain Ave Ste 101, Upland, CA 91786-5183 | 2008-03-27 |
| 1033395413 | Dat Nguyen, D.d.s., Inc. | Dentist | 555 N Central Ave, Upland, CA 91786-4241 | 2008-01-15 |
| 1073711420 | Nardito Galang Angeles | Dentist | 1635 N Mountain Ave, Upland, CA 91784-1732 | 2007-07-06 |
| 1790994580 | Douglas William Johnson | Dentist | 980 E Foothill Blvd Ste 104, Upland, CA 91786-4068 | 2007-05-21 |
| Find all providers in UPLAND | ||||
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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.