MEDICARE: DR. LEE BAIGELMAN 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	1223G0001X	General Practice Dentistry	8084	FL

General Provider Information

NPI Number	:	1679604664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEE BAIGELMAN D.D.S.

Provider Business Mailing Address
First Line	:	11320 NW 11TH CT
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6314
Country	:	US
Telephone Number	:	954-755-7085
Fax Number	:	954-755-4675

Provider Business Practice Location Address
First Line	:	1874 W HILLSBORO BLVD
Second Line	:	SUITE A
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-1420
Country	:	US
Telephone Number	:	954-428-4575
Fax Number	:

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

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	07/08/2007

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