Lee, Shaun M.

Lee, Shaun M. is an sole proprietor health care provider with primary practice located at 1430 East Ave # 5 , Chico CA 95926-1628. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Lee, Shaun M. can be contacted via phone (530) 965-5707.

Contact Information

Primary practice address
1430 East Ave # 5 Chico CA 95926-1628
Phone: (530) 965-5707
Fax: (530) 965-5723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DDS60610 California
Dental Providers / Dentist 122300000X DD3544 New Mexico
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 60610 California

Profile Details

NPI number 1043590482
LBN Legal business name Lee, Shaun M.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2011
Last updated Nov 17th, 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 1043590482 NPPES
New Mexico MEDICAID PENDING

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