Lee, Bennet S

Lee, Bennet S is an individual health care provider with primary practice located at 2050 N Acacia Ave , Fullerton CA 92831-1259. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Lee, Bennet S can be contacted via phone (714) 871-5691.

Contact Information

Primary practice address
2050 N Acacia Ave Fullerton CA 92831-1259
Phone: (714) 871-5691
Fax: (714) 871-5691
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21324 Massachusetts
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 59926 California

Profile Details

NPI number 1881742526
LBN Legal business name Lee, Bennet S
Credentials D.M.D., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Dec 13th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881742526 NPPES
Massachusetts MEDICAID 0205109

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