| Brian T. Lee, Dds, Llc | |
|
301 N Warpath Dr Milan IN 47031-9530 | |
| (812) 654-2951 | |
| (812) 654-3069 |
| Full Name | Brian T. Lee, Dds, Llc |
|---|---|
| Speciality | Dentist |
| Location | 301 N Warpath Dr, Milan, Indiana |
| Authorized Official Name and Position | Brian Taylor Lee (OWNER) |
| Authorized Official Contact | 8126542951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian T. Lee, Dds, Llc 301 N Warpath Dr Po Box 306 Milan IN 47031-9530 Ph: (812) 654-2951 | Brian T. Lee, Dds, Llc 301 N Warpath Dr Milan IN 47031-9530 Ph: (812) 654-2951 |
| NPI Number | 1952641037 |
|---|---|
| Provider Enumeration Date | 02/26/2013 |
| Last Update Date | 02/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952641037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12011751A (Indiana) | Primary |
Hoosier Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 North Warpath Drive, Milan, IN 47031 Phone: 812-654-2951 Fax: 812-654-3069 |