MEDICARE: DR. DANIEL HARVEY LEE DDS, MPH

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	1223P0221X	Pediatric Dentistry	56861	CA

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
2	201756342	OTHER	NY	PEDIATRIC DENTIST

General Provider Information

NPI Number	:	1902834302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL HARVEY LEE DDS, MPH

Provider Business Mailing Address
First Line	:	4132 S RAINBOW BLVD STE 286
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-3106
Country	:	US
Telephone Number	:	949-283-2763
Fax Number	:

Provider Business Practice Location Address
First Line	:	4132 S RAINBOW BLVD STE 286
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-3106
Country	:	US
Telephone Number	:	949-283-2763
Fax Number	:

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

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	11/02/2023

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