BADII LEE DENTAL CORPORATION, INC. (NPI# 1407246994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407246994 |
| Entity Type | Organization |
| Organization Name | BADII LEE DENTAL CORPORATION, INC. |
| Other Organization Name | SMILE WIDE |
| Practice Address |
1111 W 6th Street Suite 120 Los Angeles CA 90017-1823 |
| Mailing Address |
19762 Macarthur Blvd. 100 Irvine CA 92612-8275 |
| Practice Telephone | 2138950009 |
| Practice Fax Number | 2138950012 |
| 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 |
| 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 |
| 1336539824 | Badii Lee Dental Corporation, Inc. | Dentist | 17660 Lakewood Blvd, Bellflower, CA 90706-6410 | 2015-02-04 |
| Street Address |
1111 W 6TH STREET SUITE 120 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457580219 | Teresa L Gutierrez | Speech-Language Pathologist | 1111 W 6th Street, Suite 111, Los Angeles, CA 90017-1800 | 2009-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| 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 |
|---|---|---|---|---|
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1134729601 | Enas Tayyem | Dentist | 2100 N Beachwood Dr Apt 303, Los Angeles, CA 90068-3442 | 2020-10-26 |
| 1639776073 | Stephanie Jeanne Bauman | Dentist | 3060 W Olympic Blvd Apt 438, Los Angeles, CA 90006-3838 | 2020-10-08 |
| 1316544570 | Azzah Widatalla | Dentist | 5455 Wilshire Blvd Ste 850, Los Angeles, CA 90036-4234 | 2020-10-01 |
| 1104433796 | Irena Starchenko | Dentist | 2007 Wilshire Blvd Ste 525, Los Angeles, CA 90057-3518 | 2020-09-28 |
| 1134734353 | Mark Park | Dentist | 404 Shatto Pl Apt 443, Los Angeles, CA 90020-1739 | 2020-09-14 |
| 1740895150 | Chantelle Aabedi | Dentist | 2711 Casiano Rd, Los Angeles, CA 90077-9007 | 2020-09-11 |
| 1801401542 | Yojeong Cho | Dentist | 621 S Western Ave Ste 201, Los Angeles, CA 90005-3042 | 2020-09-10 |
| 1518572247 | William Hwang | Dentist | 2727 W Olympic Blvd Ste 311, Los Angeles, CA 90006-2699 | 2020-09-10 |
| 1912511056 | Shervin Moshashaei | Dentist | 1420 Peerless Pl Apt 212, Los Angeles, CA 90035-2869 | 2020-09-05 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
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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.