Bryan D Lee in Rexburg - Oral & Maxillofacial Surgery
Bryan D Lee - NPI 1790905495
Bryan D Lee is a Oral & Maxillofacial Surgery in Rexburg, Idaho. Bryan D Lee practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Bryan D Lee is 1790905495. The last update date is 2015-05-29.
Bryan D Lee's current location address is 360 E. Main St., Rexburg, Idaho. You can contact this provider via phone number 2083565959 and fax number 2083565559. The mailing address for Bryan D Lee is 360 E. Main St., Rexburg, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan D Lee |
|---|---|
| Address | 360 E. Main St., Rexburg, Idaho |
| Phone Number | 2083565959 |
| Fax Number | 2083565559 |
| Sole Proprietor | Y |
| Credentials | DDS, MD |
NPI Number Detail
| NPI Number | 1790905495 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2015-05-29 |
Provider Mailing Address Detail
| Address | 360 E. Main St. |
|---|---|
| City | Rexburg |
| State | Idaho (ID) |
| Post Code | 83440 |
| Phone Number | 2083565959 |
| Fax Number | 2083565559 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | M-11482 |
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Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806068200 | ID | -- |
Post Comment/ Review Below
What is the Bryan D Lee's unique identification number?
The Bryan D Lee has been assigned the NPI (National Provider Identifier) Number 1790905495 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Bryan D Lee?
The Bryan D Lee is physically situated at 360 E. Main St., in the city of Rexburg, state of ID, with the postal code 83440.
What is Bryan D Lee'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 Bryan D Lee is Oral & Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 204E00000X.
On what date did the Bryan D Lee receive its 1790905495 assignment from the Centers for Medicare & Medicaid Services?
The Bryan D Lee was assigned its 1790905495 by the Centers for Medicare & Medicaid Services on 2007-04-26.
When was the Bryan D Lee's information last updated?
The Bryan D Lee's information was last updated on 2015-05-29.