MEDICARE: DR. MELISSA ANN LEE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DENT.DE.00009097	WA
2	122300000X	Dentist	DENT.DE.00009097	WA

General Provider Information

NPI Number	:	1194732610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA ANN LEE DDS

Provider Business Mailing Address
First Line	:	9714 3RD AVE NE
Second Line	:	SUITE 200
City	:	SEATTLE
State	:	WA
Zip	:	98115-2044
Country	:	US
Telephone Number	:	206-523-7600
Fax Number	:

Provider Business Practice Location Address
First Line	:	9714 3RD AVE NE
Second Line	:	SUITE 200
City	:	SEATTLE
State	:	WA
Zip	:	98115-2044
Country	:	US
Telephone Number	:	206-523-7600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	05/29/2026

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