Lee, Angie

Lee, Angie is an sole proprietor health care provider with primary practice located at 1220 Oak Park Dr Suite 110, Fort Collins CO 80525. She recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is her primary health care specialty. Lee, Angie can be contacted via phone (970) 999-5126.

Contact Information

Primary practice address
1220 Oak Park Dr Suite 110 Fort Collins CO 80525
Phone: (970) 999-5126
Fax: (970) 999-5928
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8277 North Carolina
Dental Providers / Dentist 122300000X 2901020133 Michigan
Dental Providers / Periodontics 1223P0300X DN1855725 Massachusetts
Dental Providers / Periodontics 1223P0300X DEN00201944 Colorado

Profile Details

NPI number 1972656338
LBN Legal business name Lee, Angie
Credentials DMD, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Mar 4th, 2015 - 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 1972656338 NPPES
North Carolina MEDICAID 5905031

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