Provider Demographics
NPI:1760785596
Name:LEE, DENNIS K (DMD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:K
Last Name:LEE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7001 S CUSTER RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-3001
Mailing Address - Country:US
Mailing Address - Phone:214-385-4460
Mailing Address - Fax:214-237-6096
Practice Address - Street 1:7001 S. CUSTER RD
Practice Address - Street 2:STE 200
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070
Practice Address - Country:US
Practice Address - Phone:214-385-4460
Practice Address - Fax:214-237-6096
Is Sole Proprietor?:No
Enumeration Date:2010-12-16
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX338701223G0001X
NJ22DI024489001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0274755Medicaid