Individual
DR. LEE E ROUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Mailing address
PO BOX 649, ATTN: REVENUE GENERATION, FORT DEFIANCE, AZ 86504-0649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5529129-9921
UT
1223P0221X
Pediatric Dentistry
5529129-9923
UT
1223P0221X
Pediatric Dentistry
Primary
S6-194C
NV
Other
Enumeration date
11/15/2005
Last updated
09/22/2025
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