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Bryan D Lee, DDS,MD
Oral & Maxillofacial Surgery (D.M.D.) in Rexburg, Idaho
NPI 1790905495

Bryan D Lee is a Oral & Maxillofacial Surgery (D.M.D.) based in Rexburg, ID. Bryan D Lee practices in Rexburg, ID and has the professional credentials of DDS,MD. The NPI Number for Bryan D Lee is 1790905495 and holds a License No. D-3542 (Idaho).

The current practice location address for Bryan D Lee is 360 E. Main St., Rexburg, ID and can be reached out via phone at 208-356-5959 and via fax at 208-356-5559.

Location: 360 E. Main St., Rexburg, ID, 83440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790905495
Provider Name
Bryan D Lee
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
360 E. Main St., Rexburg, ID, 83440
Phone Number
208-356-5959
Fax Number
208-356-5559
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806068200 05 ID
institution
Provider Business Practice Location Address Details
Address
360 E. Main St.
City
Rexburg
State
Idaho
Zip
83440
Phone Number
208-356-5959
Fax Number
208-356-5559
person
Provider Business Mailing Address Details
Address
360 E. Main St.
City
Rexburg
State
Idaho
Zip
83440
Phone Number
208-356-5959
Fax Number
208-356-5559
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
M-11482 (Idaho)
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
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
D-3542-OS (Idaho)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
D-3542 (Idaho)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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