Dr. Kiwon Lee, DDS
Dentist, General Practice in Montvale, New Jersey
1588983019- Practice location
- 305 W Grand Ave Ste 100, Montvale, NJ 07645-1829
- Phone
- 201-746-9474
- Fax
- 201-746-9473
- Last updated
- September 13, 2022
Kiwon Lee is a Dentist, General Practice based in Montvale, NJ. Kiwon Lee practices in Montvale, NJ and has the professional credentials of DDS. The NPI Number for Kiwon Lee is 1588983019 and holds a License No. 058305-1 (NY). The current practice location address for Kiwon Lee is 305 W Grand Ave Ste 100, Montvale, NJ 07645-1829 and can be reached out via phone at 201-746-9474 and via fax at 201-746-9473.
Provider Profile Details
- NPI Number
- 1588983019
- Provider Name
- Kiwon Lee
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 305 W Grand Ave Ste 100, Montvale, NJ 07645-1829
- Phone Number
- 201-746-9474
- Fax Number
- 201-746-9473
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 24, 2010
- Last Update Date
- September 13, 2022
- Certification Date
- September 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 305 W Grand Ave Ste 100
Montvale, NJ 07645-1829 - City
- Montvale
- State
- New Jersey
- Zip
- 07645-1829
- Phone Number
- 201-746-9474
- Fax Number
- 201-746-9473
Provider Business Mailing Address Details
- Address
- 65 Broadway Ste 901
New York, NY 10006-2535 - City
- New York
- State
- NY
- Zip
- 10006-2535
- Phone Number
- 212-683-0174
License Information
- License Number (1)
- 058305-1
- License State (1)
- NY
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 22DI02591500
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Montvale, NJ
View all Dentist, General Practice providers in Montvale →Frequently Asked Questions
What is the NPI number of Dr. Kiwon Lee, DDS?
The NPI number of Dr. Kiwon Lee, DDS is 1588983019. It was assigned on May 24, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. Kiwon Lee, DDS?
Dr. Kiwon Lee, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 058305-1.
Where does Dr. Kiwon Lee, DDS practice?
The practice location is 305 W Grand Ave Ste 100, Montvale, NJ 07645-1829. The office can be reached at 201-746-9474 (phone) or 201-746-9473 (fax).
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 1588983019 directly on the NPPES registry website.