Individual
DR. LEE EDWARD NIEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MAGD, ABGD
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2656
(207) 221-4713
Mailing address
89 DEEPWOOD DR, PORTLAND, ME 04103-3787
(504) 613-8286
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5197
KY
1223G0001X
General Practice Dentistry
Primary
DEN4733
ME
Other
Enumeration date
06/20/2005
Last updated
08/27/2019
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