Lee, Bryan D
Lee, Bryan D is an sole proprietor health care provider with primary practice located at 360 E. Main St. , Rexburg ID 83440. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Lee, Bryan D can be contacted via phone (208) 356-5959.Contact Information
Primary practice address
360 E. Main St.
Rexburg ID 83440
Phone: (208) 356-5959
Fax: (208) 356-5559
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | D-3542 | Idaho |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D-3542-OS | Idaho |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | M-11482 | Idaho |
Profile Details
NPI number | 1790905495 |
---|---|
LBN Legal business name | Lee, Bryan D |
Credentials | DDS, MD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 26th, 2007 |
Last updated | May 29th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790905495 | NPPES |
Idaho | MEDICAID | 806068200 |
Popular Providers
-
Baughman, David Gunter
1608 Polk St , Houma LA 70360-6011 -
Shall, Stephen Mark
5690 Monroe St , Sylvania OH 43560-2736 -
Jones, Harry E
6015 Shallowford Road , Chattanooga TN 37421-1688 -
Saal, Christopher John
1608 Polk St , Houma LA 70360-6011 -
Batte, James F
1455 E Bert Kouns Loop , Shreveport LA 71105-5634 -
Sacks, Jeffrey Clyde
200 Boylston St Suite 305, Chestnut Hill MA 02467-2012 -
Yallourakis, Stephen
105 W Stone Dr Ste 1A, Kingsport TN 37660-3256 -
Bourgeois, Sidney Lawrence
800 Irving Avenue (160) , Syracuse NY 13210