Provider Demographics
NPI:1861452906
Name:ONEACRE, LEE PARSONS (DDS)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:PARSONS
Last Name:ONEACRE
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 1:4323 NORTH JOSEY LANE
Mailing Address - Street 2:# 103
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010
Mailing Address - Country:US
Mailing Address - Phone:972-394-2114
Mailing Address - Fax:972-395-9704
Practice Address - Street 1:3700 FORUMS DRIVE
Practice Address - Street 2:#203
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028
Practice Address - Country:US
Practice Address - Phone:972-539-1491
Practice Address - Fax:972-539-3489
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108301223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT15112Medicare UPIN