Healthcare Provider Details

I. General information

NPI: 1790956951
Provider Name (Legal Business Name): STEVEN S LEE, D.D.S. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2008
Last Update Date: 08/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 W. MAIN ST.
HEBRON OH
43025-0280
US

IV. Provider business mailing address

820 W. MAIN ST.
HEBRON OH
43025-0280
US

V. Phone/Fax

Practice location:
  • Phone: 740-928-4596
  • Fax: 740-928-0761
Mailing address:
  • Phone: 740-928-4596
  • Fax: 740-928-0761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number StateOH

VIII. Authorized Official

Name: DR. STEVEN S LEE
Title or Position: PRESIDENT/OWNER
Credential: D.D.S.
Phone: 740-928-4596