Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES J LEE, DDS
ActiveDR. CHARLES J LEE, DDS is a 1223D0004X healthcare provider located in MOORPARK, California. NPI 1336492891 is currently active in the NPPES registry. Verify at CMS.
1223D0004X · MOORPARK, CA
Registration Details
- NPI Number
- 1336492891
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 22, 2012 (13.632671752282 yrs)
- Last Updated
- May 28, 2025
- Licenses
-
28453 (TX)105729 (CA)28453 (TX)2051 (CA)
Practice Information
- Address
-
14711 PRINCETON AVE STE 12MOORPARK, CA, 930211469Browse CA providers · Browse ZIP 93021
- Phone
- 8055294821
- Fax
- 9157445746
- Primary Specialty
-
1223D0004X
1223D0004X
- Additional Specialty
- Dentist
- Additional Specialty
- General Dentistry
- Additional Specialty
- 1223D0004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.