Provider Demographics
NPI:1114023769
Name:SARTY, LEE H (DDS)
Entity type:Individual
Prefix:
First Name:LEE
Middle Name:H
Last Name:SARTY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 OAKRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94506-3102
Mailing Address - Country:US
Mailing Address - Phone:925-820-5866
Mailing Address - Fax:925-743-0935
Practice Address - Street 1:2975 TREAT BLVD
Practice Address - Street 2:SUITE B-3
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94518-3601
Practice Address - Country:US
Practice Address - Phone:925-798-1951
Practice Address - Fax:925-798-9165
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA214051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice