Lee, Thomas K

Lee, Thomas K is an sole proprietor health care provider with primary practice located at 761 S Marine Corps Dr Suite A2, Tamuning GU 96913-3523. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Lee, Thomas K can be contacted via phone (671) 969-8533.

Contact Information

Primary practice address
761 S Marine Corps Dr Suite A2 Tamuning GU 96913-3523
Phone: (671) 969-8533
Fax: (671) 969-8534
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 44332 California
Dental Providers / Dentist 122300000X D1020 Guam

Profile Details

NPI number 1356483259
LBN Legal business name Lee, Thomas K
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Apr 23rd, 2017 - about 9 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 1356483259 NPPES
Guam MEDICAID L0015274

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