Provider Demographics
NPI:1982097457
Name:ZAMOS, LEE HUDSON (DMD)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:HUDSON
Last Name:ZAMOS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF WASHINGTON DEPARTMENT OF ORAL
Mailing Address - Street 2:1959 NE PACIFIC STREET; BOX 357134
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-0001
Mailing Address - Country:US
Mailing Address - Phone:440-708-3392
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF WASHINGTON DEPARTMENT OF ORAL
Practice Address - Street 2:1959 NE PACIFIC STREET; BOX 357134
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:440-708-3392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-09
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADR 60555128122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist