Kyle K Lee
Dentist, General Practice in Deep River, Connecticut
1639879943- Practice location
- 199 Main St, Deep River, CT 06417-2021
- Phone
- 860-526-9519
- Fax
- —
- Last updated
- September 13, 2024
Kyle Kyoungroh Lee is a Dentist, General Practice based in Deep River, CT. Kyle Kyoungroh Lee practices in Deep River, CT. The NPI Number for Kyle Kyoungroh Lee is 1639879943 and holds a License No. 14130 (CT). The current practice location address for Kyle Kyoungroh Lee is 199 Main St, Deep River, CT 06417-2021 and can be reached out via phone at 860-526-9519.
Provider Profile Details
- NPI Number
- 1639879943
- Provider Name
- Kyle Kyoungroh Lee
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 199 Main St, Deep River, CT 06417-2021
- Phone Number
- 860-526-9519
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 6, 2023
- Last Update Date
- September 13, 2024
- Certification Date
- September 13, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 199 Main St
Deep River, CT 06417-2021 - City
- Deep River
- State
- Connecticut
- Zip
- 06417-2021
- Phone Number
- 860-526-9519
Provider Business Mailing Address Details
- Address
- 199 Main St
Deep River, CT 06417-2021 - City
- Deep River
- State
- CT
- Zip
- 06417-2021
- Phone Number
- 860-526-9519
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 14130
- License State (2)
- CT
- 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 Deep River, CT
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- Deep River Board Of EducationLocal Education Agency (LEA) · NPI 1609380849
- Regional School District #4Local Education Agency (LEA) · NPI 1538673777
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- Sandra A Ely, APRNNurse Practitioner · NPI 1245146323
Frequently Asked Questions
What is the NPI number of Kyle K Lee?
The NPI number of Kyle K Lee is 1639879943. It was assigned on March 6, 2023 and is currently active in the NPPES registry.
What is the specialty of Kyle K Lee?
Kyle K Lee is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 14130.
Where does Kyle K Lee practice?
The practice location is 199 Main St, Deep River, CT 06417-2021. The office can be reached at 860-526-9519 (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 1639879943 directly on the NPPES registry website.