Lee, James Earl

Lee, James Earl is an sole proprietor health care provider with primary practice located at 611 Church St , Conway SC 29526-4823. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lee, James Earl can be contacted via phone (843) 248-4115.

Contact Information

Primary practice address
611 Church St Conway SC 29526-4823
Phone: (843) 248-4115
Fax: (843) 248-6145
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1643 South Carolina

Profile Details

NPI number 1124046271
LBN Legal business name Lee, James Earl
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jul 9th, 2007 - about 19 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 1124046271 NPPES
North Carolina MEDICAID 8995201
North Carolina MEDICAID Z16439
North Carolina Other 881-716

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