Active NPIIndividual providerSole proprietor

Dr. Kellie K Lee, DDS

Dentist, Orthodontics and Dentofacial Orthopedics in Ridgefield, New Jersey

NPI Number1528821998
Practice location
605 Broad Ave Ste 202, Ridgefield, NJ 07657-1604
Fax
—
Last updated
June 23, 2026

Kellie K Lee is a Dentist, Orthodontics and Dentofacial Orthopedics based in Ridgefield, NJ. Kellie K Lee practices in Ridgefield, NJ and has the professional credentials of DDS. The NPI Number for Kellie K Lee is 1528821998 and holds a License No. 113017 (CA). The current practice location address for Kellie K Lee is 605 Broad Ave Ste 202, Ridgefield, NJ 07657-1604 and can be reached out via phone at 201-224-9968.

Provider Profile Details

NPI Number
1528821998
Provider Name
Kellie K Lee
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
605 Broad Ave Ste 202, Ridgefield, NJ 07657-1604
Phone Number
201-224-9968
Sole Proprietor
Yes
Provider Enumeration Date
January 30, 2024
Last Update Date
June 23, 2026
Certification Date
June 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
605 Broad Ave Ste 202
Ridgefield, NJ 07657-1604
Zip
07657-1604
Phone Number
201-224-9968
Ridgefield, NJ 07657Get directions →

Provider Business Mailing Address Details

Address
200 Boyden Ave Apt 336
Maplewood, NJ 07040-2596
City
Maplewood
State
NJ
Zip
07040-2596
Phone Number
916-838-3237

License Information

License Number (1)
113017
License State (1)
CA
Taxonomy (1)
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary
License Number (2)
22DI02988000
License State (2)
NJ
Taxonomy (2)
Dentist · 122300000X

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 Dr. Kellie K Lee, DDS?

The NPI number of Dr. Kellie K Lee, DDS is 1528821998. It was assigned on January 30, 2024 and is currently active in the NPPES registry.

What is the specialty of Dr. Kellie K Lee, DDS?

Dr. Kellie K Lee, DDS is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in CA under license number 113017.

Where does Dr. Kellie K Lee, DDS practice?

The practice location is 605 Broad Ave Ste 202, Ridgefield, NJ 07657-1604. The office can be reached at 201-224-9968 (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 1528821998 directly on the NPPES registry website.

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