Provider Demographics
NPI:1750493888
Name:LEE COUNTY DENTAL CLINIC
Entity type:Organization
Organization Name:LEE COUNTY DENTAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:H
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:2763-866-8024
Mailing Address - Street 1:HILL STREET
Mailing Address - Street 2:LEE CO DENTAL CLINIC
Mailing Address - City:JONESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24263
Mailing Address - Country:US
Mailing Address - Phone:276-346-2011
Mailing Address - Fax:
Practice Address - Street 1:LEE CO DENTAL CLINIC
Practice Address - Street 2:HILL STREET
Practice Address - City:JONESVILLE
Practice Address - State:VA
Practice Address - Zip Code:24263
Practice Address - Country:US
Practice Address - Phone:276-346-2011
Practice Address - Fax:276-376-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty