BADII LEE DENTAL CORPORATION, INC. (NPI# 1619411329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619411329 |
| Entity Type | Organization |
| Organization Name | BADII LEE DENTAL CORPORATION, INC. |
| Other Organization Name | SMILE WIDE |
| Practice Address |
172 E Carson St Carson CA 90745-2702 |
| Mailing Address |
19762 Macarthur Blvd 100 Irvine CA 92612-2424 |
| Practice Telephone | 3106181522 |
| Practice Fax Number | 3106189272 |
| Mailing Telephone | 9495968100 |
| Mailing Fax Number | 5624249807 |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |
| Authorized Official Name | DANIEL HARVEY LEE (PRESIDENT) |
| Authorized Official Telephone | 9495968100 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
56861 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Smile Wide | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1336539824 | Badii Lee Dental Corporation, Inc. | Dentist | 17660 Lakewood Blvd, Bellflower, CA 90706-6410 | 2015-02-04 |
| Street Address |
172 E CARSON ST |
| City | CARSON |
| State | CA |
| Zip Code | 90745-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548701378 | Western Dental Services, Inc. | Dentist | 172 E Carson St, Carson, CA 90745-2702 | 2017-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787696 | Michael Yoshio Sujishi | Technician/Technologist | 150 West Carson Street, Store 8839, Carson, CA 90745 | 2019-12-18 |
| 1891269262 | Cesar Carrasco Dds Inc | Dentist | 21847 S Avalon Blvd, Carson, CA 90745 | 2019-01-18 |
| 1427557305 | Stephanie Yunjung Ha | Nurse Practitioner | 23517 S. Main St., Carson, CA 90745 | 2018-02-06 |
| 1861911125 | Maria C Aluning | Dentist | 242 W. Carson St., Carson, CA 90745 | 2017-09-18 |
| 1144676024 | Omid Barkhordar Dental Corporation | Dentist | 101 West Carson Street, Carson, CA 90745 | 2016-05-10 |
| 1255720652 | Sandy Mauricio | Physical Therapy Assistant | 1804 E 215th St, Carson, CA 90745 | 2015-01-22 |
| 1275948994 | United Urgent Care and Wellness Center, Inc. | Clinic/Center | 522 West Carson Street, Carson, CA 90745 | 2014-06-23 |
| 1184052805 | Jumana B Hanna | Pharmacist | 500 Carson Town Center Kmart 4987 Pharmacy, Carson, CA 90745 | 2013-10-15 |
| 1679912422 | David J Chon | Dentist | 612 E Carson St #101, Carson, CA 90745 | 2013-06-14 |
| 1942644133 | Seema M Dave | Optometrist | 150 W Carson Street, Cvs Optical, Carson, CA 90745 | 2013-04-18 |
| Find all providers in zip 90745 | ||||
| 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 |
|---|---|---|---|---|
| 1043414576 | Scott Jacks, Dds, Inc | Dentist | 20700 Avalon Blvd, Suite 600, Carson, CA 90746-3701 | 2007-06-11 |
| 1821411968 | Lenise N. Yarber D.d.s, Professional Dental Corporation | Dentist | 20930 Bonita St, Suite Y, Carson, CA 90746-3680 | 2014-01-25 |
| 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 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.