BADII LEE DENTAL CORPORATION, INC.


Address: 14600 Sherman Way, Suite 100b, Van Nuys, CA 91405-5867
Phone: 8187566950

BADII LEE DENTAL CORPORATION, INC. (NPI# 1659761294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659761294
Entity Type Organization
Organization Name BADII LEE DENTAL CORPORATION, INC.
Other Organization Name SMILE WIDE
Practice Address 14600 Sherman Way
Suite 100b
Van Nuys
CA 91405-5867
Mailing Address 19762 Macarthur Blvd.
100
Irvine
CA 92612-8275
Practice Telephone 8187566950
Practice Fax Number 8189940841
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 56861 CA Dental Providers

Other Provider/Organization Names

Other Name Type Code
Smile Wide Doing Business As Name - Organization

Other Provider IDs and Locations

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
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

Office Location

Street Address 14600 SHERMAN WAY
SUITE 100B
City VAN NUYS
State CA
Zip Code 91405-5867

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770582967 David Lavian Family Medicine 14600 Sherman Way, Ste 215, Van Nuys, CA 91405-2283 2005-07-19
1669032900 Daisy Andrade Channell Student in an Organized Health Care Education/Training Program 14600 Sherman Way, Suite 100 D, Van Nuys, CA 91405 2019-06-18
1205319688 Taiann Catherine Knetge Social Worker 14600 Sherman Way, Van Nuys, CA 91405-2283 2018-09-11
1821524125 Armine Vardanyan Marriage & Family Therapist 14600 Sherman Way, Suite 100d, Van Nuys, CA 91405-2283 2017-05-04
1790226470 Western Dental Services, Inc. Dentist 14600 Sherman Way, Suite 100b, Van Nuys, CA 91405-2283 2017-03-15
1710421235 Esperanza Ramos Registered Nurse 14600 Sherman Way, Van Nuys, CA 91405-2283 2016-12-19
1124571641 Sfvcmhc Inc Health Maintenance Organization 14600 Sherman Way, Suite 200, Van Nuys, CA 91405-2283 2016-08-02
1760859854 Julie Merrill Rehabilitation Practitioner 14600 Sherman Way, 110d, Van Nuys, CA 91405-2283 2015-08-25
1790160042 Maribel Gonzalez Marriage & Family Therapist 14600 Sherman Way, Suite 100 D, Van Nuys, CA 91405-2283 2015-07-28
1467842096 Christina Marie Blair Rehabilitation Practitioner 14600 Sherman Way, Suite 100d, Van Nuys, CA 91405-2283 2015-02-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265033955 Pro-med Hospice Inc Hospice Care, Community Based 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 2020-11-08
1205452174 Graeme Matthewson Student in an Organized Health Care Education/Training Program 6815 Noble Avenue, Van Nuys, CA 91405 2020-06-17
1023671179 Cory Andrew Kwong Student in an Organized Health Care Education/Training Program C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 2019-04-15
1871052878 Eric Nunez Behavior Technician 7226 Sepulveda Boulevard, Van Nuys, CA 91405 2019-03-19
1487113437 Cindy Antillon Behavior Technician 7226 Sepulveda Blvd. Van Nuys, Ca 91405, Van Nuys, CA 91405 2019-03-19
1326507690 Jordan Elliot Brooks Behavior Technician 7226 Sepulveda Blvd., Van Nuys, CA 91405 2019-03-17
1689132110 Bright Star Home Health Care, Inc. Home Health 7141 Wooley Ave, Van Nuys, CA 91405 2019-03-04
1336650498 Avanti Transportation Services, LLC Private Vehicle 7020 Lennox Ave #7, Van Nuys, CA 91405 2017-10-17
1801312434 Marissa Topete Rehabilitation Counselor 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 2017-08-15
1750802468 Selin Ani Zarmanoglu Marriage & Family Therapist 14600 Sherman Way #100d, Van Nuys, CA 91405 2017-07-03
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245785070 Jack Bayraymyan Dental Group Inc. Dentist 14424 Victory Blvd., Van Nuys, CA 91401 2016-08-22
1194111740 John Cohen, Dds Dental Corp Dentist 14306 Victory Blvd, Van Nuys, CA 91401-1944 2015-04-10
1528459559 Manuel Jose Palau Dentist 14435 Hamlin St. Suite 208, Van Nuys, CA 91401 2015-02-12
1922404425 Elena Zau Dentist 7440 Sepulveda Blvd, Apt 119, Van Nuys, CA 91405-4925 2014-11-10
1497156038 Yeghisheh Mirzoyan Dentist 14435 Sherman Way Ste 110, Van Nuys, CA 91405-6229 2014-09-15
1811322365 Elizabeth Kyurkchyan Dentist 14163 Wyandotte St, Van Nuys, CA 91405-2465 2013-09-03
1538501309 Thai and Vo Dental Corporation Dentist 7400 Van Nuys Blvd Ste 110, Van Nuys, CA 91405-1972 2013-07-22
1790046282 Spartak Delakyan Dentist 14231 Cohasset St, Van Nuys, CA 91405-1427 2012-05-31
1629376827 Payam Barzivand, D.d.s., Inc. Dentist 6600a Van Nuys Blvd, Van Nuys, CA 91405-4617 2011-03-11
1043518384 Amin Kohanbash Dds Inc Dentist 14523 Sherman Way # A, Van Nuys, CA 91405-2211 2011-03-10
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Competitor

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City VAN NUYS
Zip Code 91405

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Dataset Information

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.

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