Provider Demographics
NPI:1447471461
Name:LEE, EMILY QINGCHUAN (DDS)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:QINGCHUAN
Last Name:LEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5115 WEATHERSTONE CIR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4282
Mailing Address - Country:US
Mailing Address - Phone:713-434-7333
Mailing Address - Fax:713-434-7334
Practice Address - Street 1:14723 HIRAM CLARKE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77053-1348
Practice Address - Country:US
Practice Address - Phone:713-434-7333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7721122300000X
MD177821223G0001X
TX208741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX151112309Medicaid