INTERNATIONAL ACADEMY OF DENTAL IMPLANT
NPI 1528410123
Dentist - Periodontics in San Diego, CA

Q: What is Dr Samuel Lee Dental Corp's NPI number?

The NPI number for Dr Samuel Lee Dental Corp is 1528410123. It was assigned to this organization in the NPPES registry on July 7, 2016. The provider is doing business as International Academy Of Dental Implant.

Q: What is Dr Samuel Lee Dental Corp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since July 07, 2016

6727 FLANDERS DR STE 220, SAN DIEGO, CA 92121(858) 229-9869 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About International Academy Of Dental Implant NPPES

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

INTERNATIONAL ACADEMY OF DENTAL IMPLANT (NPI 1528410123) is a healthcare organization registered as a periodontics in San Diego, California and active in the NPI registry since July 2016. The organization lists Samuel S Lee, President, as its authorized official.

NPPES Registry Identity

NPI1528410123

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameDR SAMUEL LEE DENTAL CORP

Location Address6727 FLANDERS DR STE 220San Diego, CA 92121-2926

Mailing Address6727 Flanders Drive #220San Diego, CA 92121 · (858) 229-9869

Phone(858) 229-9869

Organization SubpartNo

Authorized OfficialSamuel S LeePresident · (714) 718-3446

Enumeration DateJuly 7, 2016

✔ NPI 1528410123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · 51353

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentistTaxonomy 122300000X · License 58462 (CA)

6727 FLANDERS DR STE 220, San Diego, CA 92121

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Other Names 1

Doing Business AsInternational Academy Of Dental Implant

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

DR. SAMUEL SOONHO LEE DDS

Dentist (Oral and Maxillofacial Surgery)

6727 FLANDERS DR STE 220
SAN DIEGO, CA 92121

San Diego County (714) 718-3446

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 Dr Samuel Lee Dental Corp's NPI number?

The NPI number for Dr Samuel Lee Dental Corp is 1528410123. It was assigned to this organization in the NPPES registry on July 7, 2016. The provider is doing business as International Academy Of Dental Implant.

Where is Dr Samuel Lee Dental Corp located?

Dr Samuel Lee Dental Corp is located at 6727 Flanders Dr Ste 220, San Diego, CA 92121. The listed phone number is (858) 229-9869.

What is Dr Samuel Lee Dental Corp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Dr Samuel Lee Dental Corp was last updated on July 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.