MEDICARE: ILRO LEE DMD PLLC

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

General Provider Information

NPI Number	:	1700730504
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ILRO LEE DMD PLLC

Provider Business Mailing Address
First Line	:	3404 GRANT ST
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-2960
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3404 GRANT ST
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-2960
Country	:	US
Telephone Number	:	469-877-2200
Fax Number	:

Authorized Official
Title or Position	:	OWNER / DENTST
Name	:	ILRO LEE
Credential	:	DMD
Telephone Number	:	469-877-2200

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	02/26/2026

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