Provider Demographics
NPI:1639284375
Name:LEE, DARIN CHRISTOPHER (DDS)
Entity Type:Individual
Prefix:DR
First Name:DARIN
Middle Name:CHRISTOPHER
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:PO BOX 2961
Mailing Address - Street 2:
Mailing Address - City:EDWARDS
Mailing Address - State:CO
Mailing Address - Zip Code:81632
Mailing Address - Country:US
Mailing Address - Phone:970-748-6961
Mailing Address - Fax:970-845-2201
Practice Address - Street 1:27 MAIN ST STE 303A
Practice Address - Street 2:
Practice Address - City:EDWARDS
Practice Address - State:CO
Practice Address - Zip Code:81632-8109
Practice Address - Country:US
Practice Address - Phone:970-748-6961
Practice Address - Fax:970-845-2201
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO91441223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics