Signature Dental Group

LBN: Jason S Lee Dds Inc
Signature Dental Group is an health care organization with primary practice located at 1183 E Foothill Blvd Unit 240, Upland CA 91786-4049. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Jason S Lee Dds Inc can be contacted via phone (909) 981-6882, or through Lee, Jason S via phone (909) 910-8282.

Contact Information

Primary practice address
1183 E Foothill Blvd Unit 240 Upland CA 91786-4049
Fax: (909) 981-0276
Website:
Authorized official contact:
Name: Lee, Jason S Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1912052978
LBN Legal business name Jason S Lee Dds Inc
DBA Doing business as Signature Dental Group
Authorized official Lee, Jason S Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Dec 28th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912052978 NPPES
California Other G98378-01 DELTA HEALTHY FAMILY
California Other 01604010 DELTA HEALTHY FAMILY
California Other 247386 DELTA HEALTHY FAMILY
California MEDICAID G93055-01 DELTA HEALTHY FAMILY

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