LEE D JESS DDS LTD NPI 1740352608

NPI Information

  • NPI: 1740352608
  • Provider Name: LEE D JESS DDS LTD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 501 S POKEGAMA AVE
    SUITE 101
    GRAND RAPIDS, MN
    ZIP 55744
  • Phone: (218) 326-3231

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NPI Details

LEE D JESS DDS LTD is a general practice dentist in Grand Rapids, MN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LEE D JESS DDS LTD NPI is 1740352608. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

501 S POKEGAMA AVE
SUITE 101
GRAND RAPIDS, MN
ZIP 55744-838
Phone: (218) 326-3231
Fax: (218) 326-4619

The provider's authorized official is Lee Dale Jess .
The authorized official title is Owner, President and has the following contact phone number (218) 326-3231.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 6/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice7035MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1038015600MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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