Provider Demographics
NPI:1508865395
Name:DEES, LORI ANNA (DDS)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:ANNA
Last Name:DEES
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 1:1515 N TOWN EAST BLVD
Mailing Address - Street 2:#142
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4157
Mailing Address - Country:US
Mailing Address - Phone:972-270-4456
Mailing Address - Fax:972-270-4042
Practice Address - Street 1:1515 N TOWN EAST BLVD
Practice Address - Street 2:#142
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4157
Practice Address - Country:US
Practice Address - Phone:972-270-4456
Practice Address - Fax:972-270-4042
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX200681223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics