Provider Demographics
NPI:1083830087
Name:LEE, SHAUN S (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHAUN
Middle Name:S
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 1:1320 8TH ST NE STE 103
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-4589
Mailing Address - Country:US
Mailing Address - Phone:253-939-3440
Mailing Address - Fax:253-939-2818
Practice Address - Street 1:1320 8TH ST NE STE 103
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-4589
Practice Address - Country:US
Practice Address - Phone:253-939-3440
Practice Address - Fax:253-939-2818
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE600864751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice