Provider Demographics
NPI:1851468060
Name:LEE, NORMAN EN-SHIH (DMD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:EN-SHIH
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 1:345 BOYLSTON ST STE 401
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-2863
Mailing Address - Country:US
Mailing Address - Phone:172-779-8006
Mailing Address - Fax:172-775-3966
Practice Address - Street 1:345 BOYLSTON ST STE 401
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-2863
Practice Address - Country:US
Practice Address - Phone:617-277-9800
Practice Address - Fax:617-277-5396
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA206001223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA042488269OtherTAX ID