Bryan D Lee is a General Practice in Rexburg, Idaho. Bryan D Lee practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bryan D Lee is 1790905495. The last update date is 2015-05-29.
Bryan D Lee's current location address is 360 E. Main St., Rexburg, Idaho. You can contact this provider via phone number 2083565959 and fax number 2083565559. The mailing address for Bryan D Lee is 360 E. Main St., Rexburg, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bryan D Lee |
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Address | 360 E. Main St., Rexburg, Idaho |
Phone Number | 2083565959 |
Fax Number | 2083565559 |
Sole Proprietor | Y |
Credentials | DDS, MD |
NPI Number Detail
NPI Number | 1790905495 |
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Provider Enumeration Date | 2007-04-26 |
Last Updated Date | 2015-05-29 |
Provider Mailing Address Detail
Address | 360 E. Main St. |
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City | Rexburg |
State | Idaho (ID) |
Post Code | 83440 |
Phone Number | 2083565959 |
Fax Number | 2083565559 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | D-3542 |
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 |
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806068200 | ID | -- |
Post Comment/ Review Below
What is the Bryan D Lee's unique identification number?
The Bryan D Lee has been assigned the NPI (National Provider Identifier) Number 1790905495 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Bryan D Lee?
The Bryan D Lee is physically situated at 360 E. Main St., in the city of Rexburg, state of ID, with the postal code 83440.
What is Bryan D Lee's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bryan D Lee is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Bryan D Lee receive its 1790905495 assignment from the Centers for Medicare & Medicaid Services?
The Bryan D Lee was assigned its 1790905495 by the Centers for Medicare & Medicaid Services on 2007-04-26.
When was the Bryan D Lee's information last updated?
The Bryan D Lee's information was last updated on 2015-05-29.