TIMOTHY D. LEE, DDS, PC (NPI# 1962725994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962725994 |
| Entity Type | Organization |
| Organization Name | TIMOTHY D. LEE, DDS, PC |
| Other Organization Name | CHILDREN'S DENTISTRY OF WICHITA FALLS |
| Practice Address |
4021 Rhea Rd Wichita Falls TX 76308-2727 |
| Practice Telephone | 9406130210 |
| Practice Fax Number | 9406130213 |
| Mailing Telephone | 9406130210 |
| Mailing Fax Number | 9406130213 |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2016-03-07 |
| Authorized Official Name | DR. TIMOTHY DAE LEE (PRESIDENT) |
| Authorized Official Telephone | 2149230648 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
22042 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 209326201 | 05 | |
| TX | 3469330-01 | 05 |
| Other Name | Type Code |
|---|---|
| Children's Dentistry of Wichita Falls | Doing Business As Name - Organization |
| Street Address |
4021 RHEA RD |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76308-2727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982638359 | Timothy Dae Lee | Dentist | 4021 Rhea Rd, Wichita Falls, TX 76308-2727 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098434 | D Esthetique Cosmetic &laser Center | Nurse Practitioner | 3916 Callfield Road, Suite 300, Wichita Falls, TX 76308 | 2019-11-25 |
| 1295229029 | Wichita Falls Snf LLC | Skilled Nursing Facility | 4810 Kemp Boulevard, Wichita Falls, TX 76308 | 2018-06-15 |
| 1891295465 | Kelli Dawn Francis | Licensed Vocational Nurse | 4401 Randel, Wichita Falls, TX 76308 | 2018-02-20 |
| 1548789639 | Team Thin and Fit, Pllc | Preventive Medicine | 3602 Grant Street, Wichita Falls, TX 76308 | 2017-09-11 |
| 1972025807 | Louann Whittington | Counselor | 2211 Midwestern Pkwy Ste 2, Wichita Falls, TX 76308 | 2017-07-12 |
| 1487180428 | Metx, LLC | Audiologist-Hearing Aid Fitter | 2911 Bob Ave, Wichita Falls, TX 76308 | 2017-05-11 |
| 1013450295 | Tonya Doyle | Specialist/Technologist, Other | 9 Red Bluff, Wichita Falls, TX 76308 | 2016-11-21 |
| 1851847693 | Wichita Falls Emergency Center, LLC | Clinic/Center | 4121 Southwest Parkway, Wichita Falls, TX 76308 | 2016-08-31 |
| 1053710376 | Baylor County Hospital District | Skilled Nursing Facility | 4810 Kemp Blvd, Wichita Falls, TX 76308 | 2014-08-22 |
| 1386910065 | Family Dentistry of Texoma | Dentist | 4506 Kemp Blvd., Wichita Falls, TX 76308 | 2012-03-28 |
| Find all providers in zip 76308 | ||||
| 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 |
|---|---|---|---|---|
| 1023195427 | Dentistry 4 Kidz, P.a. | Dentist | #1 Eureka Circle #103, Wichita Falls, TX 76308 | 2006-11-01 |
| 1982638359 | Timothy Dae Lee | Dentist | 4021 Rhea Rd, Wichita Falls, TX 76308-2727 | 2006-07-10 |
| 1750701058 | Divya Venkataraman Dmd Pllc | Dentist | 1 Eureka Cir, Suite 103, Wichita Falls, TX 76308-2929 | 2014-04-24 |
| 1700011160 | Divya Iyer | Dentist | 1 Eureka Cir, Suite 103, Wichita Falls, TX 76308-2929 | 2009-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647454 | Memorial Dentistry for Kids Pllc | Dentist | 14090 Memorial Dr, Houston, TX 77079-6848 | 2020-10-20 |
| 1497362651 | Munal Dental Pllc | Dentist | 2921 N Fm 1417 Ste 100, Sherman, TX 75092-3559 | 2020-09-30 |
| 1467069880 | Unique Kids Pediatric Dentistry, Pllc | Dentist | 22118 Market Place Dr Ste 500, New Caney, TX 77357-2165 | 2020-09-29 |
| 1104438092 | Sarah Al Kukash | Dentist | 2536 Amherst St Ste A, Houston, TX 77005-3207 | 2020-08-20 |
| 1295344679 | Bulverde Dental Specialist Pllc | Dentist | 22103 Bulverde Rd Ste 108, San Antonio, TX 78259-1855 | 2020-07-30 |
| 1174132559 | Previcare, Pllc | Dentist | 2006 W Campbell Rd Ste 300, Garland, TX 75044-2315 | 2020-07-30 |
| 1386252088 | Saba Saleem Tareen | Dentist | 1503 Royal Ln, Colleyville, TX 76034-5585 | 2020-07-19 |
| 1306454178 | Susan Roberts Pediatric Dentistry Pllc | Dentist | 5411 Basswood Blvd Ste 201, Fort Worth, TX 76137-4479 | 2020-07-17 |
| 1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
| 1316563497 | Woodlands Pediatric Dentistry PC | Dentist | 4850 W Panther Creek Dr Ste 102, The Woodlands, TX 77381-3595 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | WICHITA FALLS |
| Zip Code | 76308 |
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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.