Male or Other

Mr. Jeffery S. Lee DDS MS

Dentist in Marietta, OH(View on Map)

Full Name

Mr. Jeffery S. Lee DDS MS

NPI Number

1013997519

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/19/2006

Specialties

(Taxonomies)

Code

122300000X
1223S0112X

Primary Taxonomy

Yes
No

Licenses

State

Ohio
Ohio

License Number

30021802
30.021802

Contact
Information

Purpose

Mailing
Location

Address

510 ARENDS RIDGE ROAD
510 ARENDS RIDGE ROAD

City

Marietta
Marietta

State

OH
OH

Postal Code

45750
45750

Country

US
US

Telephone Number

(740) 236-9392
(740) 236-9392

Identifiers

Identifier

0230158

Identifier State

OH

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/17/2024

Provider Address

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