Provider Demographics
NPI:1952701625
Name:LEE, DOUGLAS GARRETT (DDS)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:GARRETT
Last Name:LEE
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 1:2330 E ARAPAHOE RD STE 900
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3299
Mailing Address - Country:US
Mailing Address - Phone:303-730-3910
Mailing Address - Fax:
Practice Address - Street 1:2330 E ARAPAHOE RD STE 900
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-3299
Practice Address - Country:US
Practice Address - Phone:303-730-3910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2023551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice