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Active NPI 1023571510 Individual Practitioner Male Practitioner

Dr. Nathan Lee , DMD

Dentist - General Practice • Van Nuys, CA

Professional Overview & Biography Verified Profile Summary

Dr. Nathan Lee, DMD is a registered healthcare professional specializing in Dentist - General Practice in Van Nuys, CA. Practice services are available at 17607 SHERMAN WAY STE 206 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17607 Sherman Way Ste 206

Van Nuys, CA 914063500

Telephone 8187769300
Associated Practice Facility / Clinic
🏢 Lee & Chung Dental Group Inc Facility NPI 1033789730

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Van Nuys, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
71 Specialists

Practicing in Van Nuys, CA (18734 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

CMS Verified: 2022-01-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 104104

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Christopher Chung

Dentist - General Practice

NPI 1588126189

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location January 20, 2022

Registered at 17607 SHERMAN WAY STE 206, VAN NUYS, CA 914063500 (Tel: 8187769300)

📍
Updated Business Mailing Address January 20, 2022

Registered at 17607 SHERMAN WAY STE 206, VAN NUYS, CA 914063500 (Tel: 8187769300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2022

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2021

Dentist (License #104104 in CA)

📍
Updated Practice Location October 11, 2019

Registered at 536 E MANCHESTER AVE, LOS ANGELES, CA 900033525 (Tel: 3106215345)

📍
Updated Business Mailing Address October 11, 2019

Registered at 536 E MANCHESTER AVE, LOS ANGELES, CA 900033525

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2019

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2019

Dentist (License #104104 in CA)

NPI Profile Active April 10, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 10, 2019

Registered at 350 N CLARK ST STE 600, C/O KOS SERVICES, ATTN: HR, CHICAGO, IL 606544782 (Tel: 3106215345)

📍
Updated Business Mailing Address April 10, 2019

Registered at 350 N CLARK ST STE 600, C/O KOS SERVICES, ATTN: HR, CHICAGO, IL 606544782

👤
Provider Name / Credentials Updated April 10, 2019

Recorded as NATHAN LEE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 10, 2019

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: 1023571510
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2019
Last Update: January 20, 2022
Sole Proprietor: No

Mailing Address

17607 Sherman Way Ste 206

Van Nuys, CA 914063500

Phone: 8187769300

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.