Provider Demographics
NPI:1457356743
Name:LEES, LOUIS MEYER (DDS)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:MEYER
Last Name:LEES
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 1:525 WANAQUE AVE
Mailing Address - Street 2:
Mailing Address - City:POMPTON LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07442-1843
Mailing Address - Country:US
Mailing Address - Phone:973-835-0350
Mailing Address - Fax:973-835-3697
Practice Address - Street 1:525 WANAQUE AVE
Practice Address - Street 2:
Practice Address - City:POMPTON LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07442-1843
Practice Address - Country:US
Practice Address - Phone:973-835-0350
Practice Address - Fax:973-835-3697
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI82411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice