Individual provider · Type 1 NPI

Jennifer Lee

General Practice Dentistry · Bridgeport, CT

NPI number 1104512763 Active

Practice location

161 Boston Ave
Bridgeport, CT 06610-1662

Call (203) 873-0598 Map

Mailing address

1011 Washington Blvd Unit 601
Stamford, CT 06901-2224

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X14789 (CT)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1104512763

Jennifer Lee's National Provider Identifier is 1104512763, issued on Apr 14, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bridgeport, CT. The record was last updated on May 27, 2026.