| Greg M Lee Dmd Pc | |
|
515 Ne 4th St Bend OR 97701-4955 | |
| (541) 382-0414 | |
| Not Available |
| Full Name | Greg M Lee Dmd Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 515 Ne 4th St, Bend, Oregon |
| Authorized Official Name and Position | Greg M Lee (DENTIST, OWNER) |
| Authorized Official Contact | 5033820414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greg M Lee Dmd Pc 515 Ne 4th St Bend OR 97701-4955 Ph: (541) 382-0414 | Greg M Lee Dmd Pc 515 Ne 4th St Bend OR 97701-4955 Ph: (541) 382-0414 |
| NPI Number | 1861910077 |
|---|---|
| Provider Enumeration Date | 09/07/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861910077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D10330 (Oregon) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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