Healthcare Provider Details

I. General information

NPI: 1346375813
Provider Name (Legal Business Name): ARTHUR C JEE D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13934 BALTIMORE AVE
LAUREL MD
20707-5000
US

IV. Provider business mailing address

13934 BALTIMORE AVE
LAUREL MD
20707-5000
US

V. Phone/Fax

Practice location:
  • Phone: 301-498-3900
  • Fax: 301-317-4758
Mailing address:
  • Phone: 301-498-3900
  • Fax: 301-317-4758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number6740
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: