Mary Dickerson Lee in Mobile - Dentist

Mary Dickerson Lee - NPI 1356301659

Mary Dickerson Lee is a Dentist in Mobile, Alabama. Mary Dickerson Lee practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mary Dickerson Lee is 1356301659. The last update date is 2008-01-10.

Mary Dickerson Lee's current location address is Po Box 2048, Mobile, Alabama. You can contact this provider via phone number 2514324117 and fax number 2519644011. The mailing address for Mary Dickerson Lee is Po Box 2048, Mobile, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Dickerson Lee
Address Po Box 2048, Mobile, Alabama
Phone Number 2514324117
Fax Number 2519644011
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1356301659
Provider Enumeration Date 2006-03-23
Last Updated Date 2008-01-10

Provider Mailing Address Detail

Address Po Box 2048
City Mobile
State Alabama (AL)
Post Code 366522048
Phone Number 2514324117
Fax Number 2519644011

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No LNO4503
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51092208 AL BCBS

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FAQs about Mary Dickerson Lee

What is the Mary Dickerson Lee's unique identification number?

The Mary Dickerson Lee has been assigned the NPI (National Provider Identifier) Number 1356301659 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Mary Dickerson Lee's facilities are situated?

The facilities of Mary Dickerson Lee are physically located at the following address: Po Box 2048, Mobile, AL, 366522048.

What is the area of specialization for Mary Dickerson Lee, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mary Dickerson Lee is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1356301659 to Mary Dickerson Lee?

The Mary Dickerson Lee received its 1356301659 assignment from the Centers for Medicare & Medicaid Services on 2006-03-23.

When was the Mary Dickerson Lee's information last updated?

The Mary Dickerson Lee's information was last updated on 2008-01-10.

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