BADII LEE DENTAL CORPORATION, INC (NPI# 1548652688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548652688 |
| Entity Type | Organization |
| Organization Name | BADII LEE DENTAL CORPORATION, INC |
| Other Organization Name | SMILE WIDE |
| Practice Address |
25733 Barton Rd Loma Linda CA 92354-3812 |
| Practice Telephone | 9097982755 |
| Practice Fax Number | 9093072098 |
| Mailing Telephone | 9097982755 |
| Mailing Fax Number | 9093072098 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2016-11-29 |
| Authorized Official Name | DANIEL H LEE (PRESIDENT) |
| Authorized Official Telephone | 9097982755 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Smile Wide | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134417603 | Badii Lee Dental Corporation, Inc | Dentist | 14370 Culver Dr Ste A, Irvine, CA 92604-0319 | 2011-07-18 |
| 1417286303 | Badii Lee Dental Corporation, Inc | Dentist | 22330 Hawthorne Blvd., Suite 2016, Torrance, CA 90505 | 2009-12-23 |
| 1093131807 | Badii Lee Dental Corporation, Inc | Dentist | 1007 W La Palma Ave, Suite 2, Anaheim, CA 92801-3620 | 2014-03-17 |
| 1275875197 | Badii Lee Dental Corporation, Inc | Dentist | 777 Corporate Dr, Suite 210, Ladera Ranch, CA 92694-2135 | 2013-03-18 |
| 1285995209 | Badii Lee Dental Corporation, Inc | Dentist | 1801 Newport Blvd, Suite B, Costa Mesa, CA 92627-2701 | 2012-06-06 |
| 1912268939 | Badii Lee Dental Corporation, Inc | Dentist | 1109 W 17th St, Santa Ana, CA 92706-3505 | 2012-06-06 |
| 1710251764 | Badii Lee Dental Corporation, Inc | Dentist | 4980 Barranca Pkwy, Suite 101, Irvine, CA 92604-8645 | 2012-03-07 |
| 1902179658 | Badii Lee Dental Corporation, Inc | Dentist | 11351 183rd St, Cerritos, CA 90703-5434 | 2012-02-10 |
| Street Address |
25733 BARTON RD |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-3812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851623672 | Jessica I-ching Tsai | Dentist | 25733 Barton Rd, Loma Linda, CA 92354-3812 | 2010-02-03 |
| 1952911158 | Noor Amin R Daras | Dentist | 25733 Barton Rd, Loma Linda, CA 92354-3812 | 2020-08-03 |
| 1952842700 | Western Dental Services, Inc. | Dentist | 25733 Barton Rd, Loma Linda, CA 92354-3812 | 2017-03-13 |
| 1134492119 | James D Clark | Dentist | 25733 Barton Rd, Loma Linda, CA 92354-3812 | 2012-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1780175513 | Lin Jing | Dentist | 11092 Anderson St, Loma Linda, CA 92350-1706 | 2018-05-29 |
| 1336630177 | Roya Mahmoodi | Dentist | 11092 Anderson St, Loma Linda, CA 92350-1706 | 2018-05-29 |
| 1740771583 | Susan Q Xu | Dentist | 11092 Anderson St, Loma Linda, CA 92350-1706 | 2018-05-29 |
| 1881191872 | Janine Tran | Dentist | 11092 Anderson St, Loma Linda, CA 92350-1706 | 2018-04-07 |
| 1588860217 | Loma Linda University | Dentist | 11092 Anderson Street, Loma Linda, CA 92354 | 2007-06-21 |
| 1336273630 | Jung-wei Chen | Dentist | 11092 Anderson St, Prince Hall 3301, Loma Linda, CA 92350-1706 | 2007-03-16 |
| 1750435368 | Loma Linda Children's Dental Group | Dentist | 25455 Barton Rd, Suite 205b, Loma Linda, CA 92354-3128 | 2007-01-22 |
| 1609894864 | Christopher Eric Wacker | Dentist | 25455 Barton Rd, Suite 205b, Loma Linda, CA 92354-3128 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1437771805 | Mohammad Abul-fielat Dds Inc | Dentist | 2341 S Bristol Street, Santa Ana, CA 92704 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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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.