1790905495 Bryan D Lee, DDS, MD
Oral & Maxillofacial Surgery (D.M.D.)
Reactivated
Basic Information
- Full Name
- Bryan D Lee, DDS, MD
- Gender
- Male
- Enumeration Date
- April 26, 2007
- Last Update
- May 29, 2015
- Deactivation Date
- July 17, 2007
- Reactivation Date
- August 16, 2007
Practice Location
- Address
- 360 E. MAIN ST.
REXBURG, ID 83440 - Phone
- (208) 356-5959
- Fax
- (208) 356-5559
Mailing Address
- Address
- 360 E. MAIN ST.
REXBURG, ID 83440 - Phone
- (208) 356-5959
- Fax
- (208) 356-5559
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| General Practice Dentistry General Practice | 1223G0001X | Dentist | D-3542 | ID | No |
| Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery | 1223S0112X | Dentist | D-3542-OS | ID | No |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | Oral & Maxillofacial Surgery | M-11482 | ID | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806068200 | 05 | ID | N/A |
Frequently Asked Questions
What is Bryan D Lee, DDS, MD's NPI number?
Bryan D Lee, DDS, MD's NPI number is 1790905495.
Which doctor has NPI number 1790905495?
The doctor with NPI number 1790905495 is Bryan D Lee, DDS, MD.
What is Bryan D Lee, DDS, MD's practice address?
Bryan D Lee, DDS, MD's practice address is 360 E. MAIN ST., REXBURG, ID, 83440.
Which doctor practices at 360 E. MAIN ST., REXBURG, ID, 83440?
Bryan D Lee, DDS, MD practices at 360 E. MAIN ST., REXBURG, ID, 83440.
What is Bryan D Lee, DDS, MD's phone number?
Bryan D Lee, DDS, MD's phone number is (208) 356-5959.
Who is (208) 356-5959?
(208) 356-5959 is the phone number for Bryan D Lee, DDS, MD.
What is Bryan D Lee, DDS, MD's specialty?
Bryan D Lee, DDS, MD's specialty is Oral & Maxillofacial Surgery (D.M.D.).
What type of doctor is Bryan D Lee, DDS, MD?
Bryan D Lee, DDS, MD is a Oral & Maxillofacial Surgery (D.M.D.).
Is Bryan D Lee, DDS, MD a Oral & Maxillofacial Surgery?
Yes, Bryan D Lee, DDS, MD is a Oral & Maxillofacial Surgery.
Is Bryan D Lee, DDS, MD still practicing?
Yes, Bryan D Lee, DDS, MD has reactivated their practice and is currently practicing.
Is Bryan D Lee, DDS, MD accepting new patients?
Bryan D Lee, DDS, MD may be accepting new patients. Please call their office at (208) 356-5959 to inquire about availability.
Is NPI 1790905495 still active?
Yes, NPI 1790905495 has been reactivated and is currently active.
Where does Bryan D Lee, DDS, MD practice?
Bryan D Lee, DDS, MD practices in REXBURG, ID.
Is Bryan D Lee, DDS, MD a male or female doctor?
Bryan D Lee, DDS, MD is a male doctor.