In Kyung Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011025 Issued in CT

Practice address

725 E Main St
Meriden, CT 06450-6005

Phone

(203) 235-4930

Fax

(203) 235-4932

NPI assigned

Aug 8, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brilliant Smile Dental, P.C.

  • General Practice Dentistry
  • Meriden, CT
  • NPI 1912364860
  NPD Authorized official
• Danburydds, P.C.

  • General Practice Dentistry
  • Danbury, CT
  • NPI 1831893403
  NPD Authorized official
• Derbydds, P.C.

  • General Practice Dentistry
  • Derby, CT
  • NPI 1215634886
  NPD Authorized official

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1215369574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E MAIN ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506005",
            "telephone_number": "203-235-4930",
            "fax_number": "203-235-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E MAIN ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506005",
            "telephone_number": "203-235-4930",
            "fax_number": "203-235-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "IN KYUNG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "011025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Lau
• Betty Leary, D.M.D.
• Jocelyne Lebowitz, APRN
• Laurence Neal Lederman, MD
• Lee Pediatric Dentitsry PLLC
• John Lee, M.D.
• Shimona Malik Lee, DMD
• Peter D Leff, M.D.
• Lefkowitz & Scollan, M.D.'S,LLC
• Audrey Lefkowitz, MD

• General Practice Dentistry in Meriden, CT
• Providers in Meriden, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.