Provider Demographics
NPI:1710551668
Name:LI HE DDS PC
Entity Type:Organization
Organization Name:LI HE DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LI
Authorized Official - Middle Name:
Authorized Official - Last Name:HE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-622-0535
Mailing Address - Street 1:1683 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-1825
Mailing Address - Country:US
Mailing Address - Phone:734-622-0535
Mailing Address - Fax:734-622-0545
Practice Address - Street 1:1683 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-1825
Practice Address - Country:US
Practice Address - Phone:734-622-0535
Practice Address - Fax:734-622-0545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-16
Last Update Date:2021-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty