Individual provider · Type 1 NPI
Charles J. Lee, DDS
Dental Anesthesiology · Moorpark, CA
Practice location
14711 Princeton Ave Ste 12
Moorpark, CA 93021-1469
Fax (915) 744-5746
Mailing address
26893 Bouquet Canyon Rd # 152
Santa Clarita, CA 91350-3500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 28453 (TX) |
| Dentist | 122300000X | 105729 (CA) |
| General Practice Dentistry | 1223G0001X | 28453 (TX) |
| Dental Anesthesiology Primary | 1223D0004X | 2051 (CA) |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
2 other providers at this address
About NPI 1336492891
Charles J. Lee, DDS's National Provider Identifier is 1336492891, issued on Oct 22, 2012. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Moorpark, CA. The record was last updated on May 28, 2025.