Provider Demographics
NPI:1134342470
Name:LEE, CURTIS G (DMD)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:G
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 1:10461 PARK MEADOWS DR
Mailing Address - Street 2:#101
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5306
Mailing Address - Country:US
Mailing Address - Phone:303-534-2626
Mailing Address - Fax:303-892-7953
Practice Address - Street 1:10461 PARK MEADOWS DR
Practice Address - Street 2:#101
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5306
Practice Address - Country:US
Practice Address - Phone:303-534-2626
Practice Address - Fax:303-892-7953
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO89441223G0001X
MT21091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice