DR. TRUSTEN POLK LEE III (NPI# 1730213760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730213760 |
| Entity Type | Individual |
| Full Name | DR. TRUSTEN POLK LEE III |
| Credential | DDS |
| Practice Address |
8119 E Lake Shore Dr Rockville IN 47872-7719 |
| Practice Telephone | 7653440642 |
| Practice Fax Number | 7653441942 |
| Mailing Telephone | 7653440642 |
| Mailing Fax Number | 7653441942 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12007566A | IN | Dental Providers |
| Street Address |
8119 E LAKE SHORE DR |
| City | ROCKVILLE |
| State | IN |
| Zip Code | 47872-7719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336776335 | Betty Lou Meier-forbes | Nurse Practitioner | 811 50 N, Rockville, IN 47872 | 2020-03-27 |
| 1114233756 | Rebecca Smith | Social Worker | 3911 E. Lee Drive, Rockville, IN 47872 | 2010-08-20 |
| 1619106952 | Valerie Lyn Jones | Optometrist | 725 N. Lincoln Rd, Rockville, IN 47872 | 2009-07-08 |
| 1184771834 | Gary T Coburn | Optometrist | 725 N Lincoln Road, Rockville, IN 47872 | 2007-01-04 |
| 1801965751 | Jon J. Ferguson | Chiropractor | 393 West U.S. Highway #36, Rockville, IN 47872 | 2006-11-07 |
| 1770531667 | Ronald Harold Bricker | Psychologist | Rr 5, Lee Alan Bryant, Rockville, IN 47872 | 2006-05-04 |
| 1811950470 | Parke County Emergency Medical and Transportation Services | Ambulance | 395 Parkeway Drive, Rockville, IN 47872 | 2006-04-06 |
| 1770706400 | Thomas D Nicholas Md Daniel J Dwyer Md | General Practice | 111 W High St, Rockville, IN 47872 | 2007-04-11 |
| 1760570774 | John Franklin Swaim | Family Medicine | 503 Anderson St, Rockville, IN 47872-1008 | 2006-10-11 |
| 1811204183 | Parke Clinic, Psc | Clinic/Center | 503 Anderson St, Rockville, IN 47872-1008 | 2010-09-08 |
| Find all providers in zip 47872 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801376900 | Amelia Berrien Baker | Dentist | 4110 Aspen Hill Rd Ste 310, Rockville, MD 20853-2853 | 2018-08-17 |
| 1265933071 | Oh Cheol Kwon | Dentist | 15200 Shady Grove Rd Ste 105, Rockville, MD 20850-3218 | 2018-02-27 |
| 1104331362 | Susan Sekawaabe Nanyunja | Dentist | 2532 Lindley Ter, Rockville, MD 20850-3032 | 2017-12-11 |
| 1902328222 | Terry Lyles II | Dentist | 192 Halpine Rd Ste A, Rockville, MD 20852-7645 | 2017-07-07 |
| 1669876009 | Michael Brown | Dentist | 14264 Arbor Forest Dr, Rockville, MD 20850-7479 | 2014-10-14 |
| 1093136160 | Potomac Dental Clinic, Inc. | Dentist | 5862 Hubbard Dr, Rockville, MD 20852-4820 | 2013-12-17 |
| 1609209477 | Kathy Dipasquale Kim | Dentist | 15200 Shady Grove Rd Ste 408, Rockville, MD 20850-3218 | 2013-08-15 |
| 1215379995 | Chin-shiu Lin | Dentist | 6225 Executive Blvd, Rockville, MD 20852-3906 | 2013-07-23 |
| 1659614410 | Ghassan Elias Jacklis | Dentist | 11125 Rockville Pike Ste 204, Rockville, MD 20852-3142 | 2013-03-30 |
| 1891072260 | Richard Rehak | Dentist | 306 Prettyman Dr Apt 8201, Rockville, MD 20850-7706 | 2011-11-13 |
| Find all providers in ROCKVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.