Lee Dale Jess in Grand Rapids - General Practice

Lee Dale Jess - NPI 1285706226

Lee Dale Jess is a General Practice in Grand Rapids, Minnesota. Lee Dale Jess practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lee Dale Jess is 1285706226. The last update date is 2022-07-21.

Lee Dale Jess'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 Dale Jess is 501 S Pokegama Ave, Grand Rapids, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Lee Dale Jess
Address 501 S Pokegama Ave, Grand Rapids, Minnesota
Phone Number 2183263231
Fax Number 2183264619
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1285706226
Provider Enumeration Date 2006-11-14
Last Updated Date 2022-07-21

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.

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FAQs about Lee Dale Jess

What is the unique identification code assigned to Lee Dale Jess by the Centers for Medicare & Medicaid Services?

The Lee Dale Jess has been issued the NPI (National Provider Identifier) 1285706226. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Lee Dale Jess?

The Lee Dale Jess is situated at 501 S Pokegama Ave, in the city of Grand Rapids, state of MN, with the zip code 557443838.

What is Lee Dale Jess's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lee Dale Jess is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1285706226 to Lee Dale Jess?

The Centers for Medicare & Medicaid Services assigned the 1285706226 to Lee Dale Jess on 2006-11-14.

When was the Lee Dale Jess's information last updated?

The Lee Dale Jess's information was last updated on 2022-07-21.

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