Provider Demographics
NPI:1033324678
Name:LEE, HSUCH-MING (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:HSUCH-MING
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17752 PRESTON RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-5699
Mailing Address - Country:US
Mailing Address - Phone:972-818-8882
Mailing Address - Fax:972-818-8823
Practice Address - Street 1:17752 PRESTON RD
Practice Address - Street 2:SUITE 100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5699
Practice Address - Country:US
Practice Address - Phone:972-818-8882
Practice Address - Fax:972-818-8823
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX187971223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics