Lee, Stephanie M

Lee, Stephanie M is an individual health care provider with primary practice located at 17 S Warren St , Dover NJ 07801-4506. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Lee, Stephanie M can be contacted via phone (973) 328-9100.

Contact Information

Primary practice address
17 S Warren St Dover NJ 07801-4506
Phone: (973) 328-9100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DI 021721 New Jersey

Profile Details

NPI number 1972728830
LBN Legal business name Lee, Stephanie M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Mar 1st, 2012 - about 12 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 1972728830 NPPES
New Jersey MEDICAID 9058605

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