Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Herietta Lee

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1750945788

Herietta Lee is a Dentist in Frederick, Maryland. Graduated from University of Maryland at Baltimore School of Dentistry in 2019, 7 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Maryland and North Carolina.

Years since qualifying
7
Trained at
University of Maryland at Baltimore School of Dentistry
Licensed in
MD, NC
In the registry since
2019
Specialties on file
2

Practice location Address checks out

196 Thomas Johnson Dr Ste 130
Frederick, MD 21702-4519
Phone: (301) 663-5552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20400 Observation Dr Ste 208, Germantown, MD 20876-4087 — (301) 528-8685

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 16884 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NC)

Record details

NPI number1750945788
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 25, 2019
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022
Mailing address10201 Washingtonian Blvd Apt 429, Gaithersburg, MD 20878-8309

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolUNIVERSITY OF MARYLAND AT BALTIMORE SCHOOL OF DENTISTRY
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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