SearchIllinoisDentist

Thomas Lee, DDS

NPI 1043472798 · on the registry since 2008 · sole proprietor

Practice

Address
1200 W State St
Rockford, IL 61102
Phone
(815) 490-1601
Fax
(815) 490-1625
Organisation at this address
Walgreen Co
Laboratory Corporation Of America
Crusaders Central Clinic Association
Crusaders Central Clinic Association
Crusaders Central Clinic Association
Inferred from a shared address, not stated in the registry.
Clinicians at this address
172

Registry record

Primary taxonomy
Dentist
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois