Provider Demographics
NPI:1750876702
Name:LEE, ALLISON (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:
Last Name:LEE
Suffix:
Gender:
Credentials:DDS, MS
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:RYAN
Other - Last Name:MILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:UNC ORAL AND MAXILLOFACIAL PATHOLOGY LABORATORY
Mailing Address - Street 2:140 DENTAL CIRCLE, CB #7450
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7450
Mailing Address - Country:US
Mailing Address - Phone:919-537-3152
Mailing Address - Fax:919-843-6508
Practice Address - Street 1:UNC ORAL AND MAXILLOFACIAL PATHOLOGY LABORATORY
Practice Address - Street 2:140 DENTAL CIRCLE, CB #7450
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7450
Practice Address - Country:US
Practice Address - Phone:919-537-3152
Practice Address - Fax:919-843-6508
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0294207ZP0102X, 1223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology