| Steven S Lee, D.d.s. Inc | |
|
820 W. Main St. Hebron OH 43025-0280 | |
| (740) 928-4596 | |
| (740) 928-0761 |
| Full Name | Steven S Lee, D.d.s. Inc |
|---|---|
| Speciality | Dentist |
| Location | 820 W. Main St., Hebron, Ohio |
| Authorized Official Name and Position | Steven S Lee (PRESIDENT/OWNER) |
| Authorized Official Contact | 7409284596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven S Lee, D.d.s. Inc 820 W. Main St. Hebron OH 43025-0280 Ph: (740) 928-4596 | Steven S Lee, D.d.s. Inc 820 W. Main St. Hebron OH 43025-0280 Ph: (740) 928-4596 |
| NPI Number | 1790956951 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 08/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790956951 | NPI | - | NPPES |
| 2576734 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Ohio) | Primary |
Professional Dental Alliance, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 W Main St, Hebron, OH 43025 Phone: 740-928-0761 |