Jinah Lee in Phoenix - General Practice

Jinah Lee - NPI 1356402556

Jinah Lee is a General Practice in Phoenix, Arizona. Jinah Lee practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jinah Lee is 1356402556. The last update date is 2007-07-08.

Jinah Lee's current location address is 4731 E Southern Ave, Phoenix, Arizona. You can contact this provider via phone number 6024709191 and fax number 6024709731. The mailing address for Jinah Lee is 4731 E Southern Ave, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Jinah Lee
Address 4731 E Southern Ave, Phoenix, Arizona
Phone Number 6024709191
Fax Number 6024709731
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1356402556
Provider Enumeration Date 2006-12-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4731 E Southern Ave
City Phoenix
State Arizona (AZ)
Post Code 850424150
Phone Number 6024709191
Fax Number 6024709731

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5870
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1587028 UNITED CONCORDIA
F14635 AZ PHOENIX HEALTH PLAN
5870 AZ STATE DENTAL LICENSE
413620 BLUECROSS BLUESHIELD
854829 AZ AHCCCS

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FAQs about Jinah Lee

What is the Jinah Lee's 1356402556?

The Jinah Lee's NPI (National Provider Identifier) Number is 1356402556. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jinah Lee's facilities are geographically located?

The facilities of Jinah Lee are physically situated at the following location: 4731 E Southern Ave, Phoenix, AZ, 850424150.

What is the Jinah Lee's area of specialization and corresponding taxonomy classification?

The Jinah Lee's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

When was the Jinah Lee's 1356402556 issued?

The Jinah Lee's 1356402556 was issued on 2006-12-12.

As of what date were the details pertaining to Jinah Lee last refreshed?

The information related to the Jinah Lee, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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