MEDICARE: DR. CHRISTOPHER DAVID LEE DMD

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	10466	TN

General Provider Information

NPI Number	:	1699202507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER DAVID LEE DMD

Provider Business Mailing Address
First Line	:	200 N A ST
Second Line	:
City	:	LENOIR CITY
State	:	TN
Zip	:	37771-2401
Country	:	US
Telephone Number	:	865-986-3514
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 N A ST
Second Line	:
City	:	LENOIR CITY
State	:	TN
Zip	:	37771-2401
Country	:	US
Telephone Number	:	865-351-0164
Fax Number	:

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

Provider Enumeration Date	:	05/23/2017
Last Update Date	:	05/05/2026

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