| Herietta Lee, | |
|
196 Thomas Johnson Dr Ste 130, Frederick, MD 21702-4519 | |
| (301) 663-5552 | |
| Not Available |
| Full Name | Herietta Lee |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Experience | 7 Years |
| Location | 196 Thomas Johnson Dr Ste 130, Frederick, Maryland |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750945788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16884 (Maryland) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (North Carolina) | Secondary |
| Entity Name | Community Clinic, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790730281 PECOS PAC ID: 6204722614 Enrollment ID: O20040224000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Herietta Lee, 10201 Washingtonian Blvd Apt 429, Gaithersburg, MD 20878-8309 Ph: (240) 644-7779 | Herietta Lee, 196 Thomas Johnson Dr Ste 130, Frederick, MD 21702-4519 Ph: (301) 663-5552 |
Dr. Caprice Marjenin, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1705 N Market St Ste 200, Frederick, MD 21701 Phone: 301-810-3330 |
Dr. Jim Ming-an Lee, MPH, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7360 Guilford Dr, Ste #102, Frederick, MD 21704 Phone: 301-668-2662 |
Dr. Trevor Frederick Maples, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2100 Old Farm Dr Ste 1f, Frederick, MD 21702 Phone: 301-663-1700 Fax: 301-696-2837 |
Dr. Brian Matthew Wiacek, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7115 Guilford Dr Ste 101, Frederick, MD 21704 Phone: 240-379-1550 |
Dr. Peter John Trepper, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 130 Thomas Johnson Dr, Ste 1, Frederick, MD 21701 Phone: 301-662-0222 Fax: 301-662-2034 |
Jay Mcroberts Ii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5732 Buckeystown Pike, Frederick, MD 21704 Phone: 301-695-0909 Fax: 301-695-8133 |
Dr. Suzanne Boyle, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 182 Thomas Johnson Dr, Suite 205, Frederick, MD 21702 Phone: 301-696-0111 Fax: 301-696-8179 |