Steven B Lee, Dds, Pc in Fort Wayne - Periodontics
Steven B Lee, Dds, Pc - NPI 1629031372
Steven B Lee, Dds, Pc is a Periodontics in Fort Wayne, Indiana. Steven B Lee, Dds, Pc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Steven B Lee, Dds, Pc is 1629031372. The last update date is 2008-04-15.
Steven B Lee, Dds, Pc's current location address is 1320 Medical Park Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2604711222 and fax number 2604711724. The mailing address for Steven B Lee, Dds, Pc is 1320 Medical Park Dr, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Steven B Lee, Dds, Pc |
|---|---|
| Address | 1320 Medical Park Dr, Fort Wayne, Indiana |
| Phone Number | 2604711222 |
| Fax Number | 2604711724 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lee B Steven |
| Credentials | DDS |
| Telephone Number | 2604711222 |
NPI Number Detail
| NPI Number | 1629031372 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2008-04-15 |
Provider Mailing Address Detail
| Address | 1320 Medical Park Dr |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468255844 |
| Phone Number | 2604711222 |
| Fax Number | 2604711724 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 12008803 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 373783 | IN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Steven B Lee, Dds, Pc's 1629031372?
The Steven B Lee, Dds, Pc's NPI (National Provider Identifier) Number is 1629031372. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Steven B Lee, Dds, Pc's physical address?
The Steven B Lee, Dds, Pc is physically located at 1320 Medical Park Dr, in the city of Fort Wayne, IN, with the postal code 468255844.
What is Steven B Lee, Dds, Pc'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 Steven B Lee, Dds, Pc is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
On what date was the 1629031372 assigned to Steven B Lee, Dds, Pc?
The Steven B Lee, Dds, Pc was issued its 1629031372 on 2006-04-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Steven B Lee, Dds, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Steven B Lee, Dds, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-15.
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