Dong Keun Lee, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE61618296 Issued in WA

Practice address

U.S. Army Dental Health Activity 36000 Shoemaker Lane
Suite 1051
Fort Cavazos, TX 76544-5054

Phone

(254) 287-3105

NPI assigned

Feb 27, 2023

Last updated

Jun 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1164121448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 DRYDEN AVE",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765221245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "U.S. ARMY DENTAL HEALTH ACTIVITY 36000 SHOEMAKER LANE",
            "address_2": "SUITE 1051",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "765445054",
            "telephone_number": "254-287-3105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7424 Bridgeport Way W",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984998120",
            "country_code": "US",
            "telephone_number": "253-581-2112",
            "fax_number": "253-240-2102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "DONG",
        "middle_name": "KEUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2025-06-12",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39780",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61618296",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61618296",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39780",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kraig A Kvalevog
• Cody Lachappelle
• Benjamin James Lawrence, PA-C
• Rhonda Kaye Leary, FNP-C
• Anthony Donald Lee, MD
• Jinyong Jacob Lee, DMD
• Kristyn Marie Leftridge, MSN CNM
• Caylin Faith Levin, DMD
• Brandon Lewis, RD
• Reanetta Little, N.P.

• Dentist in Fort Cavazos, TX
• Providers in Fort Cavazos, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.