Basic Information
| Provider Information | |||||||||
| NPI: | 1255647897 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COTE | ||||||||
| FirstName: | LEE | ||||||||
| MiddleName: | MARK | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | DMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2699 WRIGHT AVE | ||||||||
| Address2: | |||||||||
| City: | WINTER PARK | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32789 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4078656363 | ||||||||
| FaxNumber: | 7852405749 | ||||||||
| Practice Location | |||||||||
| Address1: | 195 W HIGHLAND ST | ||||||||
| Address2: | |||||||||
| City: | ALTAMONTE SPRINGS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 327142599 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4078656363 | ||||||||
| FaxNumber: | 7852405749 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/20/2010 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | DN19126 | FL | N | Dental Providers | Dentist | 1223P0300X | DN19126 | FL | Y | Dental Providers | Dentist | Periodontics |
No ID Information.