Healthcare Provider Details

I. General information

NPI: 1114833183
Provider Name (Legal Business Name): DEAN CURTIS LEE II
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 TALBOT AVE APT 314
DORCHESTER MA
02124-3659
US

IV. Provider business mailing address

380 TALBOT AVE APT 314
DORCHESTER MA
02124-3659
US

V. Phone/Fax

Practice location:
  • Phone: 617-704-0734
  • Fax:
Mailing address:
  • Phone: 617-704-0734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: