Thomas Lee is a Dentist in Rockford, Illinois. Thomas Lee practices all healthcare services and medical treatments related to Dentist. The NPI Number for Thomas Lee is 1043472798. The last update date is 2016-09-19.
Thomas Lee's current location address is 1200 W State St, Rockford, Illinois. You can contact this provider via phone number 8154901601 and fax number 8154901625. The mailing address for Thomas Lee is 1200 W State St, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Lee |
|---|---|
| Address | 1200 W State St, Rockford, Illinois |
| Phone Number | 8154901601 |
| Fax Number | 8154901625 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1043472798 |
|---|---|
| Provider Enumeration Date | 2008-06-25 |
| Last Updated Date | 2016-09-19 |
Provider Mailing Address Detail
| Address | 1200 W State St |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611022112 |
| Phone Number | 8154901601 |
| Fax Number | 8154901625 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19027590 |
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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 identification code assigned to Thomas Lee by the Centers for Medicare & Medicaid Services?
The Thomas Lee has been issued the NPI (National Provider Identifier) 1043472798. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Thomas Lee located?
The Thomas Lee is located at 1200 W State St, Rockford, IL 611022112.
What is Thomas Lee's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thomas Lee's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043472798 to Thomas Lee?
The Thomas Lee received its 1043472798 assignment from the Centers for Medicare & Medicaid Services on 2008-06-25.
When was the Thomas Lee's information last updated?
The Thomas Lee's information was last updated on 2016-09-19.