Lee, Michael Wayne

Lee, Michael Wayne is an individual health care provider with primary practice located at 711 Northwood Cir , Winter Park FL 32789-2424. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lee, Michael Wayne can be contacted via phone (678) 923-6800.

Contact Information

Primary practice address
711 Northwood Cir Winter Park FL 32789-2424
Phone: (678) 923-6800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN012135 Georgia

Profile Details

NPI number 1760545115
LBN Legal business name Lee, Michael Wayne
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Oct 12th, 2020 - about 5 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 1760545115 NPPES
Georgia MEDICAID 000944391A
Georgia Other DN18529
Georgia Other DN012135

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