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

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1013946540

Lee R Carrasco, MDDDS is a Maxillofacial Surgery in Philadelphia, Pennsylvania. Graduated from University of Miami, Lm Miller School of Medicine in 1999, 27 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
27
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
PA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

3400 Spruce Street 5 White Bldg
Philadelphia, PA 19104
Phone: (215) 662-3580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence MD418924 (PA)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence DS031585L (PA)

Record details

NPI number1013946540
Entity typeIndividual (Type 1)
GenderMale
Credentials MDDDS
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESApril 10, 2013

Medicare enrollment

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

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesORAL SURGERY
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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