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NPI Code Detail

MEDICARE: DR. ALLEN LEE D.M.D.

MEDICARE: DR. ALLEN 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
11223G0001XGeneral Practice Dentistry3777NV

General Provider Information

NPI Number : 1912124066
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLEN LEE D.M.D.
Provider Business Mailing Address
First Line : 5700 SPRING MOUNTAIN RD
Second Line : SUITE S & T
City : LAS VEGAS
State : NV
Zip : 89146-8860
Country : US
Telephone Number : 702-248-1248
Fax Number : 702-248-1256
Provider Business Practice Location Address
First Line : 5700 SPRING MOUNTAIN RD
Second Line : SUITE S & T
City : LAS VEGAS
State : NV
Zip : 89146-8860
Country : US
Telephone Number : 702-248-1248
Fax Number : 702-248-1256
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 07/08/2007

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