MEDICARE: DR. EMILY QINGCHUAN LEE D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	7721	NV
2	1223G0001X	General Practice Dentistry	17782	MD
3	1223G0001X	General Practice Dentistry	20874	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447471461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY QINGCHUAN LEE D.D.S.

Provider Business Mailing Address
First Line	:	5115 WEATHERSTONE CIR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4282
Country	:	US
Telephone Number	:	713-434-7333
Fax Number	:	713-434-7334

Provider Business Practice Location Address
First Line	:	14723 HIRAM CLARKE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77053-1348
Country	:	US
Telephone Number	:	713-434-7333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	11/05/2024

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