Provider Demographics
NPI:1033342464
Name:LEE, TOM YEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:TOM
Middle Name:YEE
Last Name:LEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5314 N.W. CACHE ROAD
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505
Mailing Address - Country:US
Mailing Address - Phone:580-595-9620
Mailing Address - Fax:580-595-9965
Practice Address - Street 1:5314 N.W. CACHE ROAD
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505
Practice Address - Country:US
Practice Address - Phone:580-595-9620
Practice Address - Fax:580-595-9965
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6334122300000X
TX24940122300000X
TX0024940122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist