Individual provider · Type 1 NPI

Bryan D. Lee, DDS, MD

Oral & Maxillofacial Surgery (D.M.D.) · Rexburg, ID

NPI number 1790905495 Active · reactivated Aug 16, 2007

Practice location

360 E. Main St.
Rexburg, ID 83440

Fax (208) 356-5559

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XD-3542 (ID)
Oral and Maxillofacial Surgery (Dentist) 1223S0112XD-3542-OS (ID)
Oral & Maxillofacial Surgery (D.M.D.) Primary 204E00000XM-11482 (ID)

Oral & Maxillofacial Surgery (D.M.D.): 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 j…

About NPI 1790905495

Bryan D. Lee, DDS, MD's National Provider Identifier is 1790905495, issued on Apr 26, 2007. The primary taxonomy on file is Oral & Maxillofacial Surgery (D.M.D.) (204E00000X), and the practice location is in Rexburg, ID. The record was last updated on May 29, 2015.