Provider Demographics
NPI:1124275326
Name:LEE, JANELLE UNHAE (DDS)
Entity type:Individual
Prefix:DR
First Name:JANELLE
Middle Name:UNHAE
Last Name:LEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 W GERMANN RD STE 3
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-6838
Mailing Address - Country:US
Mailing Address - Phone:504-884-1870
Mailing Address - Fax:
Practice Address - Street 1:1900 W GERMANN RD STE 3
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-6838
Practice Address - Country:US
Practice Address - Phone:480-867-7355
Practice Address - Fax:480-907-1888
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2024-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA59181223G0001X
AZD0094851223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ154524Medicaid