Provider Demographics
NPI:1801206289
Name:KOJANIS, LEE CHRISTOPHER (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:CHRISTOPHER
Last Name:KOJANIS
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 1:617 E PALISADE AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-1831
Mailing Address - Country:US
Mailing Address - Phone:201-567-7500
Mailing Address - Fax:
Practice Address - Street 1:617 E PALISADE AVE FL GROUP2
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-1831
Practice Address - Country:US
Practice Address - Phone:201-567-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-06
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI026996001223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery