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NPI Code Detail

MEDICARE: LOUIS M LEES DDS PA

MEDICARE: LOUIS M LEES DDS PA
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
11223G0001XGeneral Practice DentistryD8241NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11457356743OTHERNJINDIVIDUAL

General Provider Information

NPI Number : 1902928815
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOUIS M LEES DDS PA
Provider Business Mailing Address
First Line : 525 WANAQUE AVE
Second Line :
City : POMPTON LAKES
State : NJ
Zip : 07442-1843
Country : US
Telephone Number : 973-835-0350
Fax Number : 973-835-3697
Provider Business Practice Location Address
First Line : 525 WANAQUE AVE
Second Line :
City : POMPTON LAKES
State : NJ
Zip : 07442-1843
Country : US
Telephone Number : 973-835-0350
Fax Number : 973-835-3697
Authorized Official
Title or Position : PRESIDENT
Name : DR. LOUIS MEYER LEES
Credential : DDS
Telephone Number : 973-835-0350
Provider Enumeration Date : 04/04/2007
Last Update Date : 01/30/2008

Similar Medicare Providers

1457356743 — DR. LOUIS MEYER LEES DDS
Practice Location Address:
525 WANAQUE AVE
POMPTON LAKES, NJ
07442-1843
Practice Phone: 973-835-0350
Practice Fax: 973-835-3697
1184607863 — DR. TIMOTHY BRABSTON MD
Practice Location Address:
525 WANAQUE AVE
POMPTON LAKES, NJ
07442-1843
Practice Phone: 973-839-3333
Practice Fax: 973-839-0580
1265474860 — MEDICAL ASSOCIATES OF NORTH JERSEY,P.A.
Practice Location Address:
525 WANAQUE AVE
POMPTON LAKES, NJ
07442-1843
Practice Phone: 973-839-3333
Practice Fax: 973-839-0580
1700028438 — PEDIATRIC MULTICARE
Practice Location Address:
525 WANAQUE AVE
POMPTON LAKES, NJ
07442-1843
Practice Phone: 973-685-4411
Practice Fax:
1275868762 — DR. BRENDA MARSHALL EDD, N.P.
Practice Location Address:
525 WANAQUE AVE , SUITE 203
POMPTON LAKES, NJ
07442-1843
Practice Phone: 973-685-7000
Practice Fax:
1457899379 — SMILE LI DENTISTRY LLC
Practice Location Address:
525 WANAQUE AVE , STE 101
POMPTON LAKES, NJ
07442-1843
Practice Phone: 646-287-9300
Practice Fax:

Directions to “LOUIS M LEES DDS PA ” Practice Location

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