Active NPIOrganization

Kiwon Lee, D.d.s., PC

Dentist in Montvale, New Jersey

NPI Number1528579273
Practice location
305 W Grand Ave Ste 100, Montvale, NJ 07645-1813
Fax
—
Last updated
March 8, 2018

Kiwon Lee, D.d.s., PC is a healthcare organization based in Montvale, NJ. Kiwon Lee, D.d.s., PC practices in Montvale, NJ. The NPI Number for Kiwon Lee, D.d.s., PC is 1528579273. The current practice location address for Kiwon Lee, D.d.s., PC is 305 W Grand Ave Ste 100, Montvale, NJ 07645-1813 and can be reached out via phone at 201-746-9474.

Provider Profile Details

NPI Number
1528579273
Provider Name
Kiwon Lee, D.d.s., PC
Provider Entity Type
Organization
Address
305 W Grand Ave Ste 100, Montvale, NJ 07645-1813
Phone Number
201-746-9474
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Mrs. Maritza Duran · Credentialing Assisitant · 516-229-1441
Other Names
Bear Brook Dental Care (Doing Business As)
Provider Enumeration Date
October 21, 2017
Last Update Date
March 8, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
305 W Grand Ave Ste 100
Montvale, NJ 07645-1813
Zip
07645-1813
Phone Number
201-746-9474
Montvale, NJ 07645Get directions →

Provider Business Mailing Address Details

Address
305 W Grand Ave Ste 100
Montvale, NJ 07645-1813
City
Montvale
State
NJ
Zip
07645-1813
Phone Number
201-746-9474

License Information

Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kiwon Lee, D.d.s., PC?

The NPI number of Kiwon Lee, D.d.s., PC is 1528579273. It was assigned on October 21, 2017 and is currently active in the NPPES registry.

What is the specialty of Kiwon Lee, D.d.s., PC?

Kiwon Lee, D.d.s., PC is registered under the primary taxonomy Dentist (code 122300000X).

Where does Kiwon Lee, D.d.s., PC practice?

The practice location is 305 W Grand Ave Ste 100, Montvale, NJ 07645-1813. The office can be reached at 201-746-9474 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528579273 directly on the NPPES registry website.

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