National Provider Identifier
Edson Jiun Lee, DDS
Edson Jiun Lee, DDS is listed in the NPPES registry with a primary specialty of Dentist in Canandaigua, NY and a listed phone number of (585) 394-4664.
Profile Overview
- NPI
- 1700343100
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- February 22, 2019
- Last Updated
- February 16, 2023
Practice Location
- 330 N Main St
- Canandaigua, NY 14424-1222
Phone: (585) 394-4664
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1700343100
- Entity Type
- Individual
- Last Name
- Lee
- First Name
- Edson
- Middle Name
- Jiun
- Credential
- DDS
- Mailing Street Address
- 330 N Main St
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1222
- Mailing Country
- US
- Mailing Phone
- (585) 394-4664
- Practice Street Address
- 330 N Main St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1222
- Practice Country
- US
- Practice Phone
- (585) 394-4664
- Enumeration Date
- February 22, 2019
- Last Updated
- February 16, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 16, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)