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Active NPI 1518985886 Individual Practitioner Male Practitioner

Dr. Jack I Lee , DDS

Dentist • Ontario, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jack Lee, DDS is a registered healthcare professional specializing in Dentist in Ontario, CA. Practice services are available at 961 N MILLIKEN AVE STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

961 N Milliken Ave Ste 103

Ontario, CA 917645022

Telephone 9095817700
Associated Practice Facility / Clinic
🏢 S A Soleimani Dental Corp Facility NPI 1982993853

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Ontario, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
54 Specialists

Practicing in Ontario, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 49575

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Alex Soleimani
1982293853 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1861779175

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 26, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2013

Registered at 961 N MILLIKEN AVE STE 103, ONTARIO, CA 917645022 (Tel: 9095817700)

📍
Updated Business Mailing Address February 26, 2013

Registered at 3030 MADERO CT, WEST COVINA, CA 917914204 (Tel: 6263489307)

👤
Provider Name / Credentials Updated February 26, 2013

Recorded as JACK LEE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2013

Dentist (License #49575 in CA)

🟢
Initial NPI Registration & Enumeration July 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518985886
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: February 26, 2013
Sole Proprietor: No

Mailing Address

3030 Madero Ct

West Covina, CA 917914204

Phone: 6263489307

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.