Individual provider · Type 1 NPI
Kyle Kyoungroh Lee
General Practice Dentistry · Deep River, CT
NPI number
1639879943
Active
Practice location
199 Main St
Deep River, CT 06417-2021
Other practice locations
- 725 E Main St, Meriden, CT 06450-6005 · (203) 235-4930
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Dentistry Primary | 1223G0001X | 14130 (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.
2 other providers at this address
Other general practice dentistry providers in Deep River
About NPI 1639879943
Kyle Kyoungroh Lee's National Provider Identifier is 1639879943, issued on Mar 6, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Deep River, CT. The record was last updated on Sep 13, 2024.