Individual
MR. JEFFERY S. LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
510 ARENDS RIDGE ROAD, MARIETTA, OH 45750
(740) 236-9392
(740) 439-0894
Mailing address
510 ARENDS RIDGE ROAD, MARIETTA, OH 45750
(740) 236-9392
(740) 439-0894
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30021802
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30.021802
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230158
—
OH
Enumeration date
01/19/2006
Last updated
09/17/2024
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