Provider Demographics
NPI:1982151031
Name:LEE, URIE K (MD, DDS)
Entity type:Individual
Prefix:DR
First Name:URIE
Middle Name:K
Last Name:LEE
Suffix:
Gender:F
Credentials:MD, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2435 MANDEVILLE LN STE 230
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-6174
Mailing Address - Country:US
Mailing Address - Phone:571-398-0023
Mailing Address - Fax:571-499-5880
Practice Address - Street 1:2435 MANDEVILLE LN STE 230
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-6174
Practice Address - Country:US
Practice Address - Phone:571-398-0023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-07
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401419565122300000X
TX32375122300000X
CA1035161223S0112X
VA0101286380208600000X
CA9533208600000X
VA04380005371223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist
No208600000XAllopathic & Osteopathic PhysiciansSurgery