David Blong S Lee Dds Sc

LBN: David Blong S Lee Dds Sc
David Blong S Lee Dds Sc is an health care organization with primary practice located at 825 Michigan Ave , Sheboygan WI 53081. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. David Blong S Lee Dds Sc can be contacted via phone (920) 459-9010, or through Lee, David Blong Shonanou via phone (920) 459-9010.

Contact Information

Primary practice address
825 Michigan Ave Sheboygan WI 53081
Phone: (920) 459-9010
Fax: (920) 459-9272
Website:
Map and Directions
Authorized official contact:
Name: Lee, David Blong Shonanou Doctor of Dental Surgery (DDS)
Phone: (920) 459-9010

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5157 Wisconsin

Profile Details

NPI number 1144432469
LBN Legal business name David Blong S Lee Dds Sc
DBA Doing business as
Authorized official Lee, David Blong Shonanou Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144432469 NPPES
Wisconsin MEDICAID 33757100

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