Provider Demographics
NPI:1265727721
Name:LEE, SEHMI PAIK (DDS)
Entity type:Individual
Prefix:DR
First Name:SEHMI
Middle Name:PAIK
Last Name:LEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13925 COALFIELD COMMONS PL
Mailing Address - Street 2:STE 102
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-1216
Mailing Address - Country:US
Mailing Address - Phone:804-601-4211
Mailing Address - Fax:
Practice Address - Street 1:13925 COALFIELD COMMONS PL
Practice Address - Street 2:STE 102
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-1216
Practice Address - Country:US
Practice Address - Phone:804-601-4211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014132131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice