Provider Demographics
NPI:1376747568
Name:ANSCHUETZ, LEE HARVEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:HARVEY
Last Name:ANSCHUETZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 W UNIVERSITY DR
Mailing Address - Street 2:SUITE 303
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1951
Mailing Address - Country:US
Mailing Address - Phone:248-651-4404
Mailing Address - Fax:248-651-4405
Practice Address - Street 1:134 W UNIVERSITY DR
Practice Address - Street 2:SUITE 303
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1951
Practice Address - Country:US
Practice Address - Phone:248-651-4404
Practice Address - Fax:248-651-4405
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010087501223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics