Provider Demographics
NPI:1679604664
Name:BAIGELMAN, LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:
Last Name:BAIGELMAN
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 1:11320 NW 11TH CT
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6314
Mailing Address - Country:US
Mailing Address - Phone:954-755-7085
Mailing Address - Fax:954-755-4675
Practice Address - Street 1:1874 W HILLSBORO BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1420
Practice Address - Country:US
Practice Address - Phone:954-428-4575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL80841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice