NPI 1649447079 · live from the CMS NPI Registry
Lee Hershon, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in North Charleston, SC. National Provider Identifier 1649447079, active.
NPI record
| NPI | 1649447079 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2679 Lake Park Dr, North Charleston, SC 29406 |
| Practice phone | 843-553-2255 |
| Enumerated | May 14, 2008 |
| Last updated | May 14, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 1888 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.