Mrs. Charolette B Lee
Dental Assistant
Salomon Dental Clinic 11th Airborne Division Road
Fort Benning
, Georgia 31905
Mrs. Charolette B Lee
Dental Assistant
Salomon Dental Clinic 11th Airborne Division Road
Fort Benning
, Georgia 31905
(706) 566-3037
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Mrs. Charolette B Lee
- 599 Laurel Ridge Ln
- Cataula, GA
- Zip : 31804-2866
- Phone : (706) 566-3037
Second Address
- Mrs. Charolette B Lee
- Salomon Dental Clinic 11th Airborne Division Road
- Fort Benning, GA
- Zip : 31905
- Phone : (706) 544-9072
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Is Mrs. Charolette B Lee a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1073270336 |
|---|---|
| Provider Name | Mrs. Charolette B Lee |
| First Address | Cataula, GA 31804-2866 |
| Second Address | Fort Benning, GA 31905 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/11/2021 |
| Last Update Date | 22/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.