John H Lee Dmd Pc | |
80 Maple Avenue Suite 208 Smithtown NY 11787 | |
(631) 724-7575 | |
(631) 724-4790 |
Full Name | John H Lee Dmd Pc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 80 Maple Avenue, Smithtown, New York |
Authorized Official Name and Position | John H Lee (OWNER) |
Authorized Official Contact | 6317247575 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
John H Lee Dmd Pc 80 Maple Avenue Suite 208 Smithtown NY 11787 Ph: (631) 724-7575 | John H Lee Dmd Pc 80 Maple Avenue Suite 208 Smithtown NY 11787 Ph: (631) 724-7575 |
NPI Number | 1710140116 |
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Provider Enumeration Date | 07/07/2008 |
Last Update Date | 07/07/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710140116 | NPI | - | NPPES |
02602528 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 050381 (New York) | Primary |
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