Provider Demographics
NPI:1518118413
Name:LEE & OH DDS LLC
Entity Type:Organization
Organization Name:LEE & OH DDS LLC
Other - Org Name:SOUTH RIDING SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:K
Authorized Official - Last Name:SEATON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-327-7705
Mailing Address - Street 1:25055 RIDING PLZ
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SOUTH RIDING
Mailing Address - State:VA
Mailing Address - Zip Code:20152-5917
Mailing Address - Country:US
Mailing Address - Phone:703-327-7705
Mailing Address - Fax:703-327-0472
Practice Address - Street 1:25055 RIDING PLZ
Practice Address - Street 2:SUITE 250
Practice Address - City:SOUTH RIDING
Practice Address - State:VA
Practice Address - Zip Code:20152-5917
Practice Address - Country:US
Practice Address - Phone:703-327-7705
Practice Address - Fax:703-327-0472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401007799122300000X
VA401410902122300000X
VA0401414044122300000X
VA61411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty