Lee D Jess Dds Ltd in Grand Rapids - General Practice

Lee D Jess Dds Ltd - NPI 1740352608

Lee D Jess Dds Ltd is a General Practice in Grand Rapids, Minnesota. Lee D Jess Dds Ltd practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lee D Jess Dds Ltd is 1740352608. The last update date is 2008-06-10.

Lee D Jess Dds Ltd's current location address is 501 S Pokegama Ave, Grand Rapids, Minnesota. You can contact this provider via phone number 2183263231 and fax number 2183264619. The mailing address for Lee D Jess Dds Ltd is 501 S Pokegama Ave, Grand Rapids, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lee D Jess Dds Ltd
Address 501 S Pokegama Ave, Grand Rapids, Minnesota
Phone Number 2183263231
Fax Number 2183264619
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER, PRE
Authorized Official Name Jess Dale Lee
Credentials D.D.S.
Telephone Number 2183263231

NPI Number Detail

NPI Number 1740352608
Provider Enumeration Date 2006-11-15
Last Updated Date 2008-06-10

Provider Mailing Address Detail

Address 501 S Pokegama Ave
City Grand Rapids
State Minnesota (MN)
Post Code 557443838
Phone Number 2183263231
Fax Number 2183264619

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7035
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
38015600 MN --

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FAQs about Lee D Jess Dds Ltd

What is the unique 10-digit identifier code assigned to Lee D Jess Dds Ltd by the Centers for Medicare & Medicaid Services?

The Lee D Jess Dds Ltd has been issued the NPI (National Provider Identifier) 1740352608 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Lee D Jess Dds Ltd is geographically located?

The Lee D Jess Dds Ltd is physically situated at the following location: 501 S Pokegama Ave, Grand Rapids, MN, 557443838.

What is Lee D Jess Dds Ltd'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 Lee D Jess Dds Ltd is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

When was the Lee D Jess Dds Ltd's 1740352608 issued?

The Lee D Jess Dds Ltd's 1740352608 was issued on 2006-11-15.

When was the information pertaining to Lee D Jess Dds Ltd most recently updated or revised?

The details related to Lee D Jess Dds Ltd, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-10.

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