Provider Demographics
NPI:1124676226
Name:JANICE Y LEE DDS P.A.
Entity type:Organization
Organization Name:JANICE Y LEE DDS P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESEDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-227-1820
Mailing Address - Street 1:170 CHANGEBRIDGE RD BLDG D52
Mailing Address - Street 2:
Mailing Address - City:MONTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07045-8803
Mailing Address - Country:US
Mailing Address - Phone:973-227-1820
Mailing Address - Fax:
Practice Address - Street 1:170 CHANGEBRIDGE RD BLDG D52
Practice Address - Street 2:
Practice Address - City:MONTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07045-8803
Practice Address - Country:US
Practice Address - Phone:973-227-1820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-01
Last Update Date:2019-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty