BADII LEE DENTAL CORPORATION, INC. (NPI# 1336539824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336539824 |
| Entity Type | Organization |
| Organization Name | BADII LEE DENTAL CORPORATION, INC. |
| Other Organization Name | SMILE WIDE |
| Practice Address |
17660 Lakewood Blvd Bellflower CA 90706-6410 |
| Mailing Address |
19762 Macarthur Blvd. 100 Irvine CA 92612-8275 |
| Practice Telephone | 5624611180 |
| Practice Fax Number | 5628040863 |
| Mailing Telephone | 9495968100 |
| Mailing Fax Number | 5624249807 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | DR. 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 |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
CA | Dental Providers | |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
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 |
| 1972993467 | Badii Lee Dental Corporation, Inc. | Dentist | 12828 Harbor Blvd., Suite 340, Garden Grove, CA 92840-5833 | 2015-02-04 |
| 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 |
| Street Address |
17660 LAKEWOOD BLVD |
| City | BELLFLOWER |
| State | CA |
| Zip Code | 90706-6410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114952777 | Nataly Mogilevsky | Family Medicine | 17660 Lakewood Blvd, Bellflower, CA 90706-6410 | 2006-07-12 |
| 1982145611 | Western Dental Services, Inc. | Dentist | 17660 Lakewood Blvd, Bellflower, CA 90706-6410 | 2017-03-14 |
| 1801245485 | Pharmedquest Pharmacy Services | Pharmacy | 17660 Lakewood Blvd, Bellflower, CA 90706-6410 | 2016-06-06 |
| 1477911709 | Dawn Rose-marie Manriquez | Nurse Practitioner | 17660 Lakewood Blvd, Bellflower, CA 90706-6410 | 2016-02-01 |
| 1316218043 | Universal Care | Health Maintenance Organization | 17660 Lakewood Blvd, Bellflower, CA 90706-6410 | 2012-01-26 |
| 1447556170 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 17660 Lakewood Blvd, Bellflower, CA 90706-6410 | 2011-01-27 |
| 1386951424 | Nancy Navarro Guzman | Social Worker | 17660 Lakewood Blvd, Bellflower, CA 90706 | 2010-09-10 |
| 1841433653 | Lily Hoanglan Do | Internal Medicine | 17660 Lakewood Blvd, Bellflower, CA 90706-6410 | 2009-04-08 |
| 1194841221 | Tsai, Hsiao & Loo Dental Corporation | Dentist | 17660 Lakewood Blvd, Bellflower, CA 90706 | 2007-03-21 |
| 1346316353 | John Ravera | Dentist | 17660 Lakewood Blvd, Bellflower, CA 90706-6410 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922526573 | Edward W. Lew Dmd Inc. | Dentist | 17024 Clark Ave Suite C, Bellflower, CA 90706 | 2017-09-05 |
| 1629501226 | Miriam Zuniga Dds Inc | Clinic/Center | 14349 Woodruff Ave, Bellflower, CA 90706 | 2017-04-10 |
| 1528507175 | Michael Dwayne Chubbs | In Home Supportive Care | 15120 Woodruff Avenue, Unit #25, Bellflower, CA 90706 | 2017-02-15 |
| 1407229792 | Lillian Armenta | Case Manager/Care Coordinator | 13536 Cowley Avenue, Bellflower, CA 90706 | 2015-11-09 |
| 1295119568 | Saima Martinez | Dental Assistant | 9719 Cedar St. Apt. 1, Bellflower, CA 90706 | 2015-07-16 |
| 1891198214 | Vanessa Guerra | Counselor | 17800 Woodruff, Bellflower, CA 90706 | 2014-09-30 |
| 1679995534 | Yunsook Cheung Waldman | Dentist | 10318 E. Rosecrans, Bellflower, CA 90706 | 2014-01-13 |
| 1144652736 | Verzhine Elena Trdatyan | Pharmacist | 15740 Woodruff Avenue, Bellflower, CA 90706 | 2013-08-06 |
| 1245579481 | Lynn F Lo | Nurse Practitioner | 16323 Clark Ave., Bell Flower, CA 90706 | 2013-02-07 |
| 1285972240 | Miriam Zuniga-bernardeau | Dentist | 14349 Woodruff Ave., Bellflower, CA 90706 | 2013-01-26 |
| Find all providers in zip 90706 | ||||
| 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 |
|---|---|---|---|---|
| 1528346327 | Western Dental Services, Inc. | Dentist | 15745 Bellflower Blvd, Bellflower, CA 90706-3864 | 2011-07-27 |
| 1043506009 | Gary R. Sanner | Dentist | 10318 E. Rosecrans Ave., Bellflower, CA 90706 | 2011-06-28 |
| 1952833998 | Gary R. Sanner D.d.s., Inc | Dentist | 10318 Rosecrans Ave, Bellflower, CA 90706-2702 | 2017-03-29 |
| 1376751651 | Consumerhealth, Inc. | Dentist | 17615 Lakewood Blvd, Bellflower, CA 90706-6409 | 2007-05-18 |
| 1992867352 | Allen H Ko | Dentist | 16424 Bellflower Blvd, Bellflower, CA 90706-5415 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| City | BELLFLOWER |
| Zip Code | 90706 |
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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.