MEDICARE: DR. MICHAEL HUA-YUEN LEE D.M.D.

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	1223G0001X	General Practice Dentistry	4195	ME
2	1223G0001X	General Practice Dentistry	31758	TX
3	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	0401419178	VA
4	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	4195	ME
5	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	31758	TX

General Provider Information

NPI Number	:	1619255346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL HUA-YUEN LEE D.M.D.

Provider Business Mailing Address
First Line	:	915 N ST SE BLDG 175
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20374-5162
Country	:	US
Telephone Number	:	202-433-2480
Fax Number	:

Provider Business Practice Location Address
First Line	:	915 N ST SE BLDG 175
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20374-5162
Country	:	US
Telephone Number	:	240-620-1679
Fax Number	:

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

Provider Enumeration Date	:	07/29/2011
Last Update Date	:	03/21/2025

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