MEDICARE: APRIL J LEE D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	54008	CA

General Provider Information

NPI Number	:	1871764761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL J LEE D.D.S.

Provider Business Mailing Address
First Line	:	1740 MARCO POLO WAY
Second Line	:	SUITE 12
City	:	BURLINGAME
State	:	CA
Zip	:	94010-4522
Country	:	US
Telephone Number	:	650-231-2680
Fax Number	:

Provider Business Practice Location Address
First Line	:	1740 MARCO POLO WAY
Second Line	:	SUITE 12
City	:	BURLINGAME
State	:	CA
Zip	:	94010-4522
Country	:	US
Telephone Number	:	650-231-2680
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2008
Last Update Date	:	02/12/2026

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