Provider Demographics
NPI:1255647897
Name:COTE, LEE MARK JR (DMD)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:MARK
Last Name:COTE
Suffix:JR
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 1:2699 WRIGHT AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789
Mailing Address - Country:US
Mailing Address - Phone:407-865-6363
Mailing Address - Fax:785-240-5749
Practice Address - Street 1:195 W HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2599
Practice Address - Country:US
Practice Address - Phone:407-865-6363
Practice Address - Fax:785-240-5749
Is Sole Proprietor?:No
Enumeration Date:2010-08-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN19126122300000X, 1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist