person
Kenneth Lee
General Practice Dentistry in Chicago, Illinois
NPI 1255064614

Kenneth Lee is a General Practice Dentistry based in Bayside, IL and is specialized in General Practice. Kenneth Lee practices in Chicago, IL. The NPI Number for Kenneth Lee is 1255064614 and holds a License No. (Illinois).

The current practice location address for Kenneth Lee is 3210 W 63Rd St, Chicago, IL and can be reached out via phone at 773-776-8300.

Location: 3210 W 63Rd St, Chicago, IL, 11360-2930
person
Provider Profile Details
NPI Number
1255064614
Provider Name
Kenneth Lee
Credential
Provider Entity Type
Individual
Gender
Male
Address
3210 W 63Rd St, Chicago, IL, 11360-2930
Phone Number
773-776-8300
Fax Number
Provider Enumeration Date
07/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3210 W 63Rd St
City
State
Zip
60629-3325
Phone Number
773-776-8300
Fax Number
person
Provider Business Mailing Address Details
Address
3210 W 63Rd St
City
State
Zip
60629-3325
Phone Number
773-776-8300
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
019.033918 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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