Provider Demographics
NPI:1821018748
Name:WILLIAM LEE DDS & JUNE WARREN LEE DDS
Entity Type:Organization
Organization Name:WILLIAM LEE DDS & JUNE WARREN LEE DDS
Other - Org Name:LEE FAMILY DENTISTRY
Other - Org Type:Other Name
Authorized Official - Title/Position:DOCTOR PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:617-288-2680
Mailing Address - Street 1:383 NEPONSET AVE
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02122
Mailing Address - Country:US
Mailing Address - Phone:617-288-2680
Mailing Address - Fax:617-288-0568
Practice Address - Street 1:383 NEPONSET AVE
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02122
Practice Address - Country:US
Practice Address - Phone:617-288-2680
Practice Address - Fax:617-288-0568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA135551223G0001X
MA135561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty