Provider Demographics
NPI:1316450943
Name:HEATHER S. LEE, DDS, PA
Entity type:Organization
Organization Name:HEATHER S. LEE, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:828-692-8939
Mailing Address - Street 1:506 PARK HILL CT STE 3
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-4333
Mailing Address - Country:US
Mailing Address - Phone:828-692-8939
Mailing Address - Fax:828-697-7338
Practice Address - Street 1:506 PARK HILL CT STE 3
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4333
Practice Address - Country:US
Practice Address - Phone:828-692-8939
Practice Address - Fax:828-697-7338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-06
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC92191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty