Provider Demographics
NPI:1427035690
Name:LEE, TERRY S (DDS)
Entity Type:Individual
Prefix:DR
First Name:TERRY
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 1:2105 RANCH LOOP DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4344
Mailing Address - Country:US
Mailing Address - Phone:913-680-7959
Mailing Address - Fax:
Practice Address - Street 1:6051 FM 3009 STE 250
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-3434
Practice Address - Country:US
Practice Address - Phone:210-599-8700
Practice Address - Fax:210-599-1100
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS68091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice