Lee D Jess Dds Ltd

LBN: Lee D Jess Dds Ltd
Lee D Jess Dds Ltd is an health care organization with primary practice located at 501 S Pokegama Ave Suite 101, Grand Rapids MN 55744-3838. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Lee D Jess Dds Ltd can be contacted via phone (218) 326-3231, or through Jess, Lee Dale via phone (218) 326-3231.

Contact Information

Primary practice address
501 S Pokegama Ave Suite 101 Grand Rapids MN 55744-3838
Phone: (218) 326-3231
Fax: (218) 326-4619
Website:
Map and Directions
Authorized official contact:
Name: Jess, Lee Dale Doctor of Dental Surgery (DDS)
Phone: (218) 326-3231

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7035 Minnesota

Profile Details

NPI number 1740352608
LBN Legal business name Lee D Jess Dds Ltd
DBA Doing business as
Authorized official Jess, Lee Dale Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Jun 10th, 2008 - about 16 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 1740352608 NPPES
Minnesota MEDICAID 038015600

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