Brent D Lee, DDS, MS - Dentist in Pocatello, ID

Brent D Lee, DDS, MS is a Dentist - Oral And Maxillofacial Surgery based in Pocatello, Idaho. Brent D Lee is licensed to practice in Idaho (license number D1494) and his current practice location is 165 N 14th Ave, Pocatello, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 232-2807.

NPI number for Brent D Lee is 1154495802 and his current mailing address is Po Box 6033, 165 N 14th Ave, Pocatello, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154495802.

Contact Information

Brent D Lee, DDS, MS
165 N 14th Ave,
Pocatello, ID 83201-4146
(208) 232-2807
(208) 232-8118

Map and Direction




Healthcare Provider's Profile

Full NameBrent D Lee
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location165 N 14th Ave, Pocatello, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154495802
  • Provider Enumeration Date: 11/17/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Brent D Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154495802NPI-NPPES
000010009592OtherIDRAILROAD
6M097OtherIDBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery D1494 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brent D Lee is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brent D Lee, DDS, MS
Po Box 6033, 165 N 14th Ave,
Pocatello, ID 83205-6033

Ph: (208) 232-2807
Brent D Lee, DDS, MS
165 N 14th Ave,
Pocatello, ID 83201-4146

Ph: (208) 232-2807

Reviews and Comments


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