Jason Lee in Jacksonville - Oral And Maxillofacial Surgery
Jason Lee - NPI 1578622908
Jason Lee is a Oral And Maxillofacial Surgery in Jacksonville, Florida. Jason Lee practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jason Lee is 1578622908. The last update date is 2012-10-19.
Jason Lee's current location address is 13820 Old St Augustine Rd, Jacksonville, Florida. You can contact this provider via phone number 9042607700. The mailing address for Jason Lee is 13820 Old St Augustine Rd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Lee |
|---|---|
| Address | 13820 Old St Augustine Rd, Jacksonville, Florida |
| Phone Number | 9042607700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1578622908 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2012-10-19 |
Provider Mailing Address Detail
| Address | 13820 Old St Augustine Rd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 32258 |
| Phone Number | 9042607700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DTP477 |
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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 |
|---|---|---|---|
| 461503733A | GA | -- | |
| 0767638-00 | FL | -- |
Post Comment/ Review Below
What is the Jason Lee's unique identification number?
The Jason Lee has been assigned the NPI (National Provider Identifier) Number 1578622908 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jason Lee is located?
The Jason Lee is situated at the following address: 13820 Old St Augustine Rd, Jacksonville, FL, 32258.
What is Jason Lee's area of expertise and its corresponding taxonomy classification?
The Jason Lee's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1578622908 to Jason Lee?
The Centers for Medicare & Medicaid Services assigned the 1578622908 to Jason Lee on 2006-12-08.
When was the information pertaining to Jason Lee most recently updated or revised?
The details related to Jason Lee, including its address, specialty, and other relevant information, were last updated or revised on 2012-10-19.