Timothy Dae Lee in Wichita Falls - Pediatric Dentistry
Timothy Dae Lee - NPI 1982638359
Timothy Dae Lee is a Pediatric Dentistry in Wichita Falls, Texas. Timothy Dae Lee practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Timothy Dae Lee is 1982638359. The last update date is 2016-03-07.
Timothy Dae Lee's current location address is 4021 Rhea Rd, Wichita Falls, Texas. You can contact this provider via phone number 2149230648 and fax number 9406130213. The mailing address for Timothy Dae Lee is 4021 Rhea Rd, Wichita Falls, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Dae Lee |
|---|---|
| Address | 4021 Rhea Rd, Wichita Falls, Texas |
| Phone Number | 2149230648 |
| Fax Number | 9406130213 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1982638359 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2016-03-07 |
Provider Mailing Address Detail
| Address | 4021 Rhea Rd |
|---|---|
| City | Wichita Falls |
| State | Texas (TX) |
| Post Code | 763082727 |
| Phone Number | 2149230648 |
| Fax Number | 9406130213 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 22042 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200131900 A | OK | -- | |
| 5441000 | TN | -- | |
| 1701203-10 | TX | -- |
Post Comment/ Review Below
What is the Timothy Dae Lee's unique identification number?
The Timothy Dae Lee has been assigned the NPI (National Provider Identifier) Number 1982638359 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Timothy Dae Lee's facilities are geographically located?
The facilities of Timothy Dae Lee are physically situated at the following location: 4021 Rhea Rd, Wichita Falls, TX, 763082727.
What is Timothy Dae Lee's specialized field of practice, and what is the corresponding taxonomy classification code?
The Timothy Dae Lee's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Timothy Dae Lee receive its 1982638359 assignment from the Centers for Medicare & Medicaid Services?
The Timothy Dae Lee was assigned its 1982638359 by the Centers for Medicare & Medicaid Services on 2006-07-10.
When was the information regarding Timothy Dae Lee, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Timothy Dae Lee, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-03-07.
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