Healthcare Provider Details

I. General information

NPI: 1285569715
Provider Name (Legal Business Name): CHRISTOPHER LEE, DDS, A PROFESSIONAL DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1949 PARKSIDE DR
CONCORD CA
94519-2525
US

IV. Provider business mailing address

1025 LAKERIDGE PL
SAN RAMON CA
94582-4818
US

V. Phone/Fax

Practice location:
  • Phone: 925-399-8972
  • Fax:
Mailing address:
  • Phone:
  • 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: DR. CHRISTOPHER N LEE
Title or Position: CEO
Credential: DDS
Phone: 925-399-8972