Provider Demographics
NPI:1487983383
Name:LEE, FRANCES M (DDS)
Entity type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:M
Last Name:LEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-300 FARRINGTON HWY STE F05
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-2648
Mailing Address - Country:US
Mailing Address - Phone:808-677-1566
Mailing Address - Fax:808-671-6529
Practice Address - Street 1:94-300 FARRINGTON HWY STE F05
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-2648
Practice Address - Country:US
Practice Address - Phone:808-677-1566
Practice Address - Fax:808-671-6529
Is Sole Proprietor?:No
Enumeration Date:2009-12-24
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIHI13741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI02094301Medicaid