# JIMMIE LEE DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Voorhees Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598213811
- **Authorized official:** DR. JAMES WIENER DMD (OWNER)
- **Authorized official phone:** (856) 753-2900

## Contact information

- **Practice address:** 180 ROUTE 73, SUITE 1202, VOORHEES, NJ 08043-9546
- **Practice address phone:** (856) 753-2900
- **Practice address fax:** (856) 753-5151
- **Mailing address:** 180 ROUTE 73, SUITE 1202, VOORHEES, NJ 08043-9546
- **Mailing address phone:** (856) 753-2900
- **Mailing address fax:** (856) 753-5151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI01046700 | NJ | — |
| 1223G0001X | General Practice Dentistry | 22DI02555100 | NJ | Yes |

## Other

- **Enumeration date:** 09/15/2016
- **Last updated:** 09/15/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0328651 | — | NJ |
| 05 | — | 0469947 | — | NJ |