BADII LEE DENTAL CORPORATION, INC. (NPI# 1972993467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972993467 |
| Entity Type | Organization |
| Organization Name | BADII LEE DENTAL CORPORATION, INC. |
| Other Organization Name | SMILE WIDE |
| Practice Address |
12828 Harbor Blvd. Suite 340 Garden Grove CA 92840-5833 |
| Mailing Address |
19762macarthurblvd. 100 Irvine CA 92612-8275 |
| Practice Telephone | 7145309801 |
| Practice Fax Number | 7145307824 |
| Mailing Telephone | 9495968100 |
| Mailing Fax Number | 5624249807 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | DANIEL HARVEY LEE (PRESIDENT) |
| Authorized Official Telephone | 9495968100 |
| Authorized Official Credential | DDS, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 56861 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Smile Wide | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619411329 | Badii Lee Dental Corporation, Inc. | Dentist | 172 E Carson St, Carson, CA 90745-2702 | 2016-12-14 |
| 1720459506 | Badii Lee Dental Corporation, Inc. | Dentist | 1920 Main Street, Suite 970, Irvine, CA 92614 | 2015-10-19 |
| 1932599412 | Badii Lee Dental Corporation, Inc. | Dentist | 2839 N Eastern Ave, Los Angeles, CA 90032-2701 | 2015-02-04 |
| 1225428717 | Badii Lee Dental Corporation, Inc. | Dentist | 1001 W Carson St Ste H, Torrance, CA 90502-2051 | 2015-02-04 |
| 1063802551 | Badii Lee Dental Corporation, Inc. | Dentist | 710 S Brookhurst Street, Suite O, Anaheim, CA 92804-4321 | 2015-02-04 |
| 1023408507 | Badii Lee Dental Corporation, Inc. | Dentist | 3325 Palo Verde Avenue, Suite 208, Long Beach, CA 90808-4132 | 2015-02-04 |
| 1659761294 | Badii Lee Dental Corporation, Inc. | Dentist | 14600 Sherman Way, Suite 100b, Van Nuys, CA 91405-5867 | 2015-02-04 |
| 1114317690 | Badii Lee Dental Corporation, Inc. | Dentist | 4024 12th St, Riverside, CA 92501-3561 | 2015-02-04 |
| 1407246994 | Badii Lee Dental Corporation, Inc. | Dentist | 1111 W 6th Street, Suite 120, Los Angeles, CA 90017-1823 | 2015-02-04 |
| 1336539824 | Badii Lee Dental Corporation, Inc. | Dentist | 17660 Lakewood Blvd, Bellflower, CA 90706-6410 | 2015-02-04 |
| Street Address |
12828 HARBOR BLVD. SUITE 340 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-5833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| 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 |
|---|---|---|---|---|
| 1962036343 | Tan Nghiem Dds Inc | Dentist | 12130 Brookhurst St, Garden Grove, CA 92840-2817 | 2020-02-25 |
| 1881225860 | Thuan Huu Nguyen Dds Inc | Dentist | 12372 Garden Grove Blvd Ste A, Garden Grove, CA 92843-1804 | 2020-01-29 |
| 1982251914 | Marianna Ibrahim Dds Dental Corp | Dentist | 12462 Brookhurst St Ste C, Garden Grove, CA 92840-4759 | 2019-08-23 |
| 1972066371 | S. Truong Dental Corporation | Dentist | 13112 Harbor Blvd, Garden Grove, CA 92843-1744 | 2019-04-11 |
| 1346720042 | 4 U Dental | Dentist | 9363 Garden Grove Blvd #3, Garden Grove, CA 92844 | 2018-08-21 |
| 1346781184 | Western Dental Services, Inc. | Dentist | 12141 Garden Grove Blvd, Garden Grove, CA 92843-1628 | 2017-03-13 |
| 1528502648 | Boung Kim I | Dentist | 8754 Garden Grove Bld, Garden Grove, CA 90621 | 2016-12-08 |
| 1821460221 | Floss and Gloss Dental | Dentist | 10542 Mcfadden Ave, Garden Grove, CA 92843-5352 | 2015-10-24 |
| 1417329277 | Hannah Nguyen | Dentist | 13912 Magnolia St, Garden Grove, CA 92844-2725 | 2015-10-20 |
| 1578955100 | Rosario Trevino | Dentist | 12833 Harbor Blvd # F-3, Garden Grove, CA 92840-5806 | 2015-02-18 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
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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.