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.
Source: public NPPES record, last updated February 16, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
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)
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Biography
Dr. Edson Lee is a dentist with Gullo Dental in Canandaigua. Raised in São Paulo, Brazil, he earned his dental surgeon degree at Universidade Cidade de São Paulo, completed implantology training in Brazil, and later pursued advanced education in New York through AEGD training at the University of Rochester and a general practice residency at BronxCare Health System. His background also includes dental outreach in the Amazon Basin and more than six years as a dental lab technician, including work with CAD/CAM dental prosthetics.
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
- Taxonomies
- Dentist (122300000X)