Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174902654 Individual Practitioner Male Practitioner

Dr. Michael Lee , DDS

Dentist • Independence, MO

Professional Overview & Biography Verified Profile Summary

Dr. Michael Lee, DDS is a registered healthcare professional specializing in Dentist in Independence, MO. Practice services are available at 12400 E 40 HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12400 E 40 Hwy

Independence, MO 640555929

Telephone 8168975850
Associated Practice Facility / Clinic
🏢 South Independence Dental Llc Facility NPI 1245842202

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Independence, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
34 Specialists

Practicing in Independence, MO (1740 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: 2020-09-10
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI 2901021502

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.

Secondary Practice Locations

5555 Conner St

Detroit, MI 482133448

Phone: 3135712648

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Jessica Ellis , DDS

Dentist - General Practice

NPI 1639430440

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 14, 2020

Registered at 12400 E 40 HWY, INDEPENDENCE, MO 640555929 (Tel: 8168975850)

📍
Updated Business Mailing Address September 14, 2020

Registered at 12400 E 40 HWY, INDEPENDENCE, MO 640555929

NPI Profile Active July 20, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2016

Registered at 5555 CONNER ST, DETROIT, MI 482133448 (Tel: 3135712648)

📍
Updated Business Mailing Address July 20, 2016

Registered at 514 E FERRY ST, DETROIT, MI 482023816

👤
Provider Name / Credentials Updated July 20, 2016

Recorded as MICHAEL LEE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2016

Dentist (License #2901021502 in MI)

🟢
Initial NPI Registration & Enumeration May 29, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Michael Lee. Be the first to share your experience!

Sign in to leave a review for Dr. Michael Lee

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1174902654
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2015
Last Update: September 14, 2020
Sole Proprietor: No

Mailing Address

12400 E 40 Hwy

Independence, MO 640555929

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.