Lee, Susan

Lee, Susan is an individual health care provider with primary practice located at 323 Main St , West Haven CT 06516-4424. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Lee, Susan can be contacted via phone (203) 937-7181.

Contact Information

Primary practice address
323 Main St West Haven CT 06516-4424
Phone: (203) 937-7181
Fax: (203) 937-1940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 009701 Connecticut

Profile Details

NPI number 1780887281
LBN Legal business name Lee, Susan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Dec 20th, 2013 - about 11 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 1780887281 NPPES
Connecticut MEDICAID 008002457

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