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SIMON LEE DENTAL
NPI 1295845717
Dentist in Clearlake, CA

Active since August 30, 2006
15130 LAKESHORE DR, CLEARLAKE, CA 95422(707) 994-6000(707) 994-7589 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Simon Lee Dental NPPES

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

SIMON LEE DENTAL (NPI 1295845717) is a healthcare organization registered as a dentist in Clearlake, California and active in the NPI registry since August 2006. The organization lists Simon Hyun Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1295845717
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSIMON LEE DENTAL
Location Address15130 LAKESHORE DRClearlake, CA 95422
Mailing Address15130 Lakeshore DrClearlake, CA 95422 · (707) 994-6000 · Fax (707) 994-7589
Phone(707) 994-6000
Fax(707) 994-7589
Organization SubpartNo
Authorized OfficialSimon Hyun LeeOwner · (707) 994-6000
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1295845717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 37978
Definition
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.
15130 LAKESHORE DR, Clearlake, CA 95422
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Other Identifiers 1

OtherG9342001CA · Medical

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

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 Simon Lee Dental's NPI number?

The NPI number for Simon Lee Dental is 1295845717. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Simon Lee Dental located?

Simon Lee Dental is located at 15130 Lakeshore Dr, Clearlake, CA 95422. The listed phone number is (707) 994-6000.

What is Simon Lee Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Simon Lee Dental was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.