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Organization
JESSE G. LEE, D.D.S
Active
Organization
JESSE G. LEE, D.D.S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE G LEE DDS (PRESIDENT)
(910) 892-2137
Entity
Organization
Contact information
Practice address
210 N ELLIS AVE, DUNN, NC 28334-3807
(910) 892-2137
(910) 892-2546
Mailing address
210 N ELLIS AVE, DUNN, NC 28334-3807
(910) 892-2137
(910) 892-2546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
545899
TRICARE
NC
05
—
8995206
—
NC
01
—
95206
BCBS
NC
Enumeration date
07/06/2006
Last updated
06/05/2008
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