Provider Demographics
NPI:1598782435
Name:OPPENHEIMER, LEE EVERETT (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:EVERETT
Last Name:OPPENHEIMER
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 1:23B SHELTER COVE LN.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29928
Mailing Address - Country:US
Mailing Address - Phone:843-842-5005
Mailing Address - Fax:843-842-5059
Practice Address - Street 1:23B SHELTER COVE LN.
Practice Address - Street 2:SUITE 200
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29928
Practice Address - Country:US
Practice Address - Phone:843-842-5005
Practice Address - Fax:843-842-5059
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3277 &4501223P0300X
SC32771223P0300X
SC04501223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics