Healthcare Provider Details

I. General information

NPI: 1942140777
Provider Name (Legal Business Name): SHAUN MICHAEL LEE DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 EAST AVE # 5
CHICO CA
95926-1628
US

IV. Provider business mailing address

1430 EAST AVE # 5
CHICO CA
95926-1628
US

V. Phone/Fax

Practice location:
  • Phone: 530-965-5707
  • Fax:
Mailing address:
  • Phone: 530-965-5707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: SHAUN LEE
Title or Position: DENTIST
Credential: DDS
Phone: 530-228-8586