Individual provider · Type 1 NPI
Brent D. Lee, DDS, M.S.
Oral and Maxillofacial Surgery (Dentist) · Pocatello, ID
Practice location
165 N 14th Ave
Pocatello, ID 83201-4146
Fax (208) 232-8118
Mailing address
PO Box 6033, 165 N 14th Ave
Pocatello, ID 83205-6033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D1494 (ID) |
Oral and Maxillofacial Surgery (Dentist): 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.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Pocatello
About NPI 1154495802
Brent D. Lee, DDS, M.S.'s National Provider Identifier is 1154495802, issued on Nov 17, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Pocatello, ID. The record was last updated on Jul 8, 2007.