DR JEFFREY LEE MD DMD
NPI 1932248085
Oral & Maxillofacial Surgery in Tustin, CA

NPI Status: Active since February 05, 2007

Contact Information

17452 IRVINE BLVD
SUITE 100
TUSTIN, CA
ZIP 92780
Phone: (714) 734-9363
Fax: (714) 734-9362

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  • Organization
  • Oral & Maxillofacial Surgery

About DR JEFFREY LEE MD DMD

This page provides the complete NPI Profile along with additional information for Dr Jeffrey Lee Md Dmd, a provider established in Tustin, California operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1932248085 assigned on February 2007. The practitioner's primary taxonomy code is 204E00000X with license number G73560 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. Dr Jeffrey Lee Md Dmd operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Jeffrey Lee Md Dmd (Owner Surgeon)

NPI
1932248085
Provider Name
DR JEFFREY LEE MD DMD
Entity Type
Organization
Location Address
17452 IRVINE BLVD SUITE 100 TUSTIN, CA 92780
Location Phone
(714) 734-9363
Location Fax
(714) 734-9362
Mailing Address
17452 IRVINE BLVD SUITE 100 TUSTIN, CA 92780
Mailing Phone
(714) 734-9363
Mailing Fax
(714) 734-9362
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-05-2007
Last Update Date
08-22-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Oral & Maxillofacial Surgery

Taxonomy Code
204E00000X
Type
Allopathic & Osteopathic Physicians
License No.
G73560
License State
CA
Taxonomy Description
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223S0112XDental Providers

Dentist
Oral and Maxillofacial Surgery

00008 (CA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JEFFREY LEE MD DMD

Authorized Official Title
OWNER SURGEON
Authorized Official Phone
(714) 734-9363

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1932248085
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29624416016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 6 + 2 + 4 + 4 + 1 + 6 + 0 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1932248085 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740285600DR. BARBARA ROSEN PH.D.
Individual
Psychologist (Clinical)17452 IRVINE BLVD STE 214
TUSTIN, CA 92780
(714) 731-6111
1134101611MR. CHAD JOSEPH ANGOTTA M.A., M.F.T.
Individual
Marriage & Family Therapist17452 IRVINE BLVD SUITE #214
TUSTIN, CA 92780
(714) 731-6111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932248085, enumerated in the NPI registry as an "organization" on February 05, 2007

The provider is located at 17452 Irvine Blvd Suite 100 Tustin, Ca 92780 and the phone number is (714) 734-9363

This medical organization specializes in Oral & Maxillofacial Surgery with taxonomy code 204E00000X

This NPI record was last updated on February 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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