Provider Demographics
NPI:1730378381
Name:LEE, HEEJE (DDS)
Entity type:Individual
Prefix:DR
First Name:HEEJE
Middle Name:
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 1:225 E. STATE HWY 121
Mailing Address - Street 2:SUITE #117
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-2008
Mailing Address - Country:US
Mailing Address - Phone:972-315-0811
Mailing Address - Fax:972-315-0891
Practice Address - Street 1:225 E STATE HIGHWAY 121
Practice Address - Street 2:SUITE #117
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-2005
Practice Address - Country:US
Practice Address - Phone:972-315-0811
Practice Address - Fax:972-315-0891
Is Sole Proprietor?:No
Enumeration Date:2007-10-19
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX256021223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics