1003937541 NPI number — CHIE LI EE, DMD, PA

Table of content: (NPI 1003937541)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003937541 NPI number — CHIE LI EE, DMD, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHIE LI EE, DMD, PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CAPE MAY DENTAL ASSOCIATES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003937541
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
411 PARK BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAPE MAY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08204-1244
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-884-5335
Provider Business Mailing Address Fax Number:
609-884-8087

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
411 PARK BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAPE MAY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08204-1244
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-884-5335
Provider Business Practice Location Address Fax Number:
609-884-8087
Provider Enumeration Date:
04/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
EE
Authorized Official First Name:
CHIE LI
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
609-884-5335

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  22DI19786 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com