| Steven B Lee, Dds, Pc | |
|
1320 Medical Park Dr Fort Wayne IN 46825-5844 | |
| (260) 471-1222 | |
| (260) 471-1724 |
| Full Name | Steven B Lee, Dds, Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1320 Medical Park Dr, Fort Wayne, Indiana |
| Authorized Official Name and Position | Steven B Lee (PRESIDENT) |
| Authorized Official Contact | 2604711222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven B Lee, Dds, Pc 1320 Medical Park Dr Fort Wayne IN 46825-5844 Ph: (260) 471-1222 | Steven B Lee, Dds, Pc 1320 Medical Park Dr Fort Wayne IN 46825-5844 Ph: (260) 471-1222 |
| NPI Number | 1629031372 |
|---|---|
| Provider Enumeration Date | 04/11/2006 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629031372 | NPI | - | NPPES |
| 000000373783 | Other | IN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 12008803 (Indiana) | Primary |
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