Healthcare Provider Details

I. General information

NPI: 1750876702
Provider Name (Legal Business Name): ALLISON LEE DDS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON RYAN MILES DDS

II. Dates (important events)

Enumeration Date: 06/22/2018
Last Update Date: 04/16/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNC ORAL AND MAXILLOFACIAL PATHOLOGY LABORATORY 140 DENTAL CIRCLE, CB #7450
CHAPEL HILL NC
27599-7450
US

IV. Provider business mailing address

UNC ORAL AND MAXILLOFACIAL PATHOLOGY LABORATORY 140 DENTAL CIRCLE, CB #7450
CHAPEL HILL NC
27599-7450
US

V. Phone/Fax

Practice location:
  • Phone: 919-537-3152
  • Fax: 919-843-6508
Mailing address:
  • Phone: 919-537-3152
  • Fax: 919-843-6508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number0294
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number0294
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: