Provider Demographics
NPI:1538376447
Name:AKIN, LEE HARTMAN (DDS)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:HARTMAN
Last Name:AKIN
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 1:29 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:POTSDAM
Mailing Address - State:NY
Mailing Address - Zip Code:13676
Mailing Address - Country:US
Mailing Address - Phone:315-265-2896
Mailing Address - Fax:315-265-1035
Practice Address - Street 1:29 MAIN STREET
Practice Address - Street 2:
Practice Address - City:POTSDAM
Practice Address - State:NY
Practice Address - Zip Code:13676
Practice Address - Country:US
Practice Address - Phone:315-265-2896
Practice Address - Fax:315-265-1035
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055169-11223S0112X
NY2740613811223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery