SUSAN J. LEE, DMD, MD INC
NPI 1235754334
Oral & Maxillofacial Surgery in Glendora, CA

Active since June 15, 2020
175 N PENNSYLVANIA AVE STE 3, GLENDORA, CA 91741(626) 852-0365(626) 852-0369 Get Directions Write a Review

NPPES record last updated: June 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan J. Lee, Dmd, Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN J. LEE, DMD, MD INC (NPI 1235754334), doing business as Glendora Oral Surgery And Implant Center, is a healthcare organization registered as an oral & maxillofacial surgery in Glendora, California and active in the NPI registry since June 2020. The organization lists Susan Jean Lee, President, as its authorized official.

NPPES Registry Identity

NPI1235754334
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameSUSAN J. LEE, DMD, MD INC
Location Address175 N PENNSYLVANIA AVE STE 3Glendora, CA 91741-3316
Mailing Address11851 Laurelwood Dr Apt 103Studio City, CA 91604-4928 · (818) 939-4378
Fax(626) 852-0369
Organization SubpartNo
Authorized OfficialSusan Jean LeePresident · (818) 939-4378
Enumeration DateJune 15, 2020
NPPES CertifiedJune 15, 2020
NPI 1235754334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
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.
175 N PENNSYLVANIA AVE STE 3, Glendora, CA 91741

Other Names 1

Doing Business AsGlendora Oral Surgery And Implant Center

Other Identifiers 1

Other14457151Caqh

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
175 N PENNSYLVANIA AVE STE 3
GLENDORA, CA 91741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan J. Lee, Dmd, MD Inc's NPI number?

The NPI number for Susan J. Lee, Dmd, MD Inc is 1235754334. It was assigned to this organization in the NPPES registry on June 15, 2020. The provider is doing business as Glendora Oral Surgery and Implant Center.

Where is Susan J. Lee, Dmd, MD Inc located?

Susan J. Lee, Dmd, MD Inc is located at 175 N Pennsylvania Ave Ste 3, Glendora, CA 91741. The listed phone number is (626) 852-0365.

What is Susan J. Lee, Dmd, MD Inc's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Susan J. Lee, Dmd, MD Inc was last updated on June 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.