BRIER CREEK ORTHODONTICS (J. GINA LEE, DDS, MDS, PA) NPI 1023294683

Clinic/Center in Raleigh, NC

NPI 1023294683 Organization Clinic/Center

About BRIER CREEK ORTHODONTICS (J. GINA LEE, DDS, MDS, PA)

Brier Creek Orthodontics (j. Gina Lee, Dds, Mds, Pa) is a provider established in Raleigh, North Carolina specializing in clinic/center. The NPI number of Brier Creek Orthodontics (j. Gina Lee, Dds, Mds, Pa) is 1023294683 and was assigned on January 2008. The practitioner's primary taxonomy code is 261Q00000X with license number 8083 (NC). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Brier Creek Orthodontics. The authorized official of this NPI record is Dr. J. Gina Lee Dds, Mds (President)

NPI

1023294683

Provider NameBRIER CREEK ORTHODONTICS (J. GINA LEE, DDS, MDS, PA)
Provider Location Address10411 MONCREIFFE RD SUITE 105A RALEIGH, NC 27617
Provider Mailing Address10411 MONCREIFFE RD SUITE 105A RALEIGH, NC 27617
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameBRIER CREEK ORTHODONTICS
Other Name TypeDoing Business As (3)
Enumeration Date01-14-2008
Last Update Date01-14-2008


Primary Taxonomy

Taxonomy Code261Q00000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
License No.8083
License StateNC
Taxonomy DescriptionA facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Business Address

BRIER CREEK ORTHODONTICS
10411 MONCREIFFE RD
SUITE 105A
RALEIGH, NC
ZIP 27617
Phone: (919) 544-9700
Fax: (919) 544-9002

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Mailing Address

BRIER CREEK ORTHODONTICS
10411 MONCREIFFE RD
SUITE 105A
RALEIGH, NC
ZIP 27617
Phone: (919) 544-9700
Fax: (919) 544-9002



Authorized Official

Authorized Official NameDR. J. GINA LEE DDS, MDS
Authorized Official TitlePRESIDENT
Authorized Official Phone(919) 544-9700

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629260021LARRY J MORAY, DDS, MS PLLC VI
Organization
Dentist (Orthodontics and Dentofacial Orthopedics)10411 MONCREIFFE RD AUITE 105A
RALEIGH, NC 27617
(919) 544-5700
1104001205SAPNA P. CHANDRA, DMD, PA
Organization
Dentist10411 MONCREIFFE RD SUITE 107
RALEIGH, NC 27617
(919) 405-7075
1437478344FULLER & ASSOCIATES I PA
Organization
Dentist (General Practice)10411 MONCREIFFE RD SUITE 107
RALEIGH, NC 27617
(919) 405-7075
1407149271CHRISTI M. DAVIS, DDS, PA, II
Organization
Dentist (Pediatric Dentistry)10411 MONCREIFFE RD SUITE 105B
RALEIGH, NC 27617
(919) 806-0200
1851412803DR. GINA J LEE DDS
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)10411 MONCREIFFE RD SUITE 105A
RALEIGH, NC 27617
(919) 544-9700

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.