Brent D Lee in Pocatello - Oral And Maxillofacial Surgery
Brent D Lee - NPI 1154495802
Brent D Lee is a Oral And Maxillofacial Surgery in Pocatello, Idaho. Brent D Lee practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Brent D Lee is 1154495802. The last update date is 2007-07-08.
Brent D Lee's current location address is Po Box 6033, Pocatello, Idaho. You can contact this provider via phone number 2082322807 and fax number 2082328118. The mailing address for Brent D Lee is Po Box 6033, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent D Lee |
|---|---|
| Address | Po Box 6033, Pocatello, Idaho |
| Phone Number | 2082322807 |
| Fax Number | 2082328118 |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1154495802 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 6033 |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832056033 |
| Phone Number | 2082322807 |
| Fax Number | 2082328118 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D1494 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10009592 | ID | RAILROAD | |
| 6M097 | ID | BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to Brent D Lee by the Centers for Medicare & Medicaid Services?
The Brent D Lee has been assigned the NPI (National Provider Identifier) 1154495802. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Brent D Lee is located?
The Brent D Lee is situated at the following address: Po Box 6033, Pocatello, ID, 832056033.
What is Brent D Lee's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brent D Lee is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154495802 to Brent D Lee?
The Centers for Medicare & Medicaid Services assigned the 1154495802 to Brent D Lee on 2006-11-17.
As of what date were the details related to Brent D Lee most recently updated or revised?
The information pertaining to Brent D Lee, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.