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General NPI Number Information
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NPI Number | 1992626428
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Entity Type | Individual
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Provider Name | HANS LEE DMD
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Gender | Male
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 101 LECOM WAY
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City | DEFUNIAK SPRINGS
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State | FL
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Zip | 32435-6323
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Country | US
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Telephone | 850-951-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 205 HAMMOCK TRL E APT M311
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City | FREEPORT
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State | FL
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Zip | 32439-7714
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Country | US
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Telephone | 503-752-4538
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN32306
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License Number State | FL
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