Individual provider · Type 1 NPI

Jason Lee

Oral and Maxillofacial Surgery (Dentist) · Los Angeles, CA

NPI number 1790487403 Active

Practice location

714 Tiverton Ave
Los Angeles, CA 90095-8361

Call (310) 825-0834 Map

Mailing address

622 W 168th St
New York, NY 10032-3720

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X111720 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1790487403

Jason Lee's National Provider Identifier is 1790487403, issued on Mar 20, 2023. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 20, 2025.