Organization
JOHN H LEE DMD SYOSSET PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H LEE DMD (OWNER)
(516) 364-1333
Entity
Organization
Contact information
Practice address
175 JERICHO TPKE, SUITE 116A, SYOSSET, NY 11791-4532
(516) 364-1333
(516) 364-7366
Mailing address
175 JERICHO TPKE, SUITE 116A, SYOSSET, NY 11791-4532
(516) 364-1333
(516) 364-7366
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
050381
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
23133
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00659467
—
NY
Enumeration date
06/13/2007
Last updated
09/19/2012
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