Provider Demographics
NPI:1801887666
Name:LEE ORTHODONTICS PA
Entity type:Organization
Organization Name:LEE ORTHODONTICS PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:PEI-SHIN
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:281-778-3688
Mailing Address - Street 1:9201 SIENNA RANCH RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-7098
Mailing Address - Country:US
Mailing Address - Phone:281-778-3688
Mailing Address - Fax:281-778-0088
Practice Address - Street 1:9201 SIENNA RANCH RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-7098
Practice Address - Country:US
Practice Address - Phone:281-778-3688
Practice Address - Fax:281-778-0088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-01
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX199141223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty