Provider Demographics
NPI:1487775920
Name:EE, CHIE LI (DMD)
Entity type:Individual
Prefix:DR
First Name:CHIE LI
Middle Name:
Last Name:EE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08204-1244
Mailing Address - Country:US
Mailing Address - Phone:609-884-5335
Mailing Address - Fax:
Practice Address - Street 1:411 PARK BLVD
Practice Address - Street 2:
Practice Address - City:CAPE MAY
Practice Address - State:NJ
Practice Address - Zip Code:08204-1244
Practice Address - Country:US
Practice Address - Phone:609-884-5335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI19786122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist