Healthcare Provider Details

I. General information

NPI: 1982134987
Provider Name (Legal Business Name): LEE M. COTE, JR., D.M.D., PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2017
Last Update Date: 06/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 W HIGHLAND ST
ALTAMONTE SPRINGS FL
32714-2599
US

IV. Provider business mailing address

2699 WRIGHT AVE
WINTER PARK FL
32789-6149
US

V. Phone/Fax

Practice location:
  • Phone: 407-865-6363
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: LEE COTE
Title or Position: OWNER
Credential: DMD
Phone: 407-865-6363