Damian Jaewhan Lee in Morton Grove - Dentist
Damian Jaewhan Lee - NPI 1508067315
Damian Jaewhan Lee is a Dentist in Morton Grove, Illinois. Damian Jaewhan Lee practices all healthcare services and medical treatments related to Dentist. The NPI Number for Damian Jaewhan Lee is 1508067315. The last update date is 2007-07-08.
Damian Jaewhan Lee's current location address is 6104 Mayfair St, Morton Grove, Illinois. You can contact this provider via phone number 8479838540. The mailing address for Damian Jaewhan Lee is 6104 Mayfair St, Morton Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Damian Jaewhan Lee |
|---|---|
| Address | 6104 Mayfair St, Morton Grove, Illinois |
| Phone Number | 8479838540 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1508067315 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6104 Mayfair St |
|---|---|
| City | Morton Grove |
| State | Illinois (IL) |
| Post Code | 600532236 |
| Phone Number | 8479838540 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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 |
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What is the unique 10-digit identifier code issued to Damian Jaewhan Lee by the Centers for Medicare & Medicaid Services?
The Damian Jaewhan Lee has been assigned the NPI (National Provider Identifier) 1508067315 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Damian Jaewhan Lee's physical address?
The Damian Jaewhan Lee is physically located at 6104 Mayfair St, in the city of Morton Grove, IL, with the postal code 600532236.
What is the Damian Jaewhan Lee's specialty and taxonomy code?
The Damian Jaewhan Lee's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When was the Damian Jaewhan Lee's 1508067315 issued?
The Damian Jaewhan Lee's 1508067315 was issued on 2007-05-30.
As of what date was the information pertaining to Damian Jaewhan Lee, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Damian Jaewhan Lee, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.