LEE MLK DENTAL GROUP, PC (NPI# 1952497984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952497984 |
| Entity Type | Organization |
| Organization Name | LEE MLK DENTAL GROUP, PC |
| Other Organization Name | ALEXANDER DENTAL GROUP AND ORTHODONTICS |
| Practice Address |
3896 N Martin Luther King Blvd N Las Vegas NV 89032-6603 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 7026141792 |
| Practice Fax Number | 7029330190 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2015-05-07 |
| Authorized Official Name | DR. SHANNON K LEE (OWNER) |
| Authorized Official Telephone | 7026141792 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Alexander Dental Group and Orthodontics | Doing Business As Name - Organization |
| Street Address |
3896 N MARTIN LUTHER KING BLVD |
| City | N LAS VEGAS |
| State | NV |
| Zip Code | 89032-6603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
| 1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
| 1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
| 1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
| 1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
| 1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
| 1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
| 1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
| 1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
| 1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
| Find all providers in zip 89032 | ||||
| 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 |
|---|---|---|---|---|
| 1083090005 | Catherine Ariel Canda | Dentist | 6821 Arcadia Creek St, N Las Vegas, NV 89084-3179 | 2015-07-31 |
| 1568779486 | Sean Yim | Dentist | 4090 N Martin Luther King Blvd, N Las Vegas, NV 89032 | 2010-09-14 |
| 1568600328 | Seyed Alireza Rezaei | Dentist | 3315 W Craig Rd, #108, N Las Vegas, NV 89032-5000 | 2009-01-30 |
| 1801042817 | Jacob Jonathan Lavi | Dentist | 2175 E Cheyenne Ave Ste 100, N Las Vegas, NV 89030-8438 | 2008-08-09 |
| 1275697302 | Randy Hong | Dentist | 5465 Simmons St Ste 4, N Las Vegas, NV 89031-9001 | 2006-12-21 |
| 1275605149 | Huy Cao Nguyen | Dentist | 78 Broken Putter Way, N Las Vegas, NV 89148 | 2006-11-15 |
| 1043398019 | Heddamarie U.t. Hart | Dentist | 8225 Sawmill Falls St, N Las Vegas, NV 89085-4439 | 2006-11-01 |
| 1700976552 | Anthony Phan | Dentist | 445 W Craig Rd # 121-122, N Las Vegas, NV 89032-1230 | 2006-10-13 |
| 1851488431 | Absolute Dental Aliante, Inc. | Dentist | 3040 W Ann Rd, Suite 101, N Las Vegas, NV 89031-7265 | 2006-10-06 |
| 1104912831 | Absolute Dental Lake Mead, LLP | Dentist | 2301 E Lake Mead Blvd, N Las Vegas, NV 89030-7137 | 2006-10-04 |
| Find all providers in N LAS VEGAS | ||||
| City | N LAS VEGAS |
| Zip Code | 89032 |
Please comment or provide details below to improve the information on LEE MLK DENTAL GROUP, PC.
| 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.