# DR. DWIGHT B. LEE FAMILY & COSMETIC DENTISTRY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083581821
- **Authorized official:** BRANDI HILL (OFFICE MANAGER)
- **Authorized official phone:** (765) 482-2400

## Contact information

- **Practice address:** 1202 N LEBANON ST, LEBANON, IN 46052-1510
- **Practice address phone:** (765) 482-2400
- **Practice address fax:** (765) 482-2405
- **Mailing address:** 1202 N LEBANON ST, LEBANON, IN 46052-1510
- **Mailing address phone:** (765) 482-2400
- **Mailing address fax:** (765) 482-2405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2025
- **Last updated:** 10/17/2025