Jaeyoung Lee, DDS

Individual provider Active NPI General Practice Dentistry · Plainfield, CT

NPI 1235055872 · NPPES record last updated Jun 27, 2026

Key facts

NPI
1235055872
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
14841 (CT)
Practice address
721 Norwich Rd
Plainfield, CT 06374-1734
Phone
(860) 546-4222
NPI assigned
Jun 27, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14841 CT Yes

Addresses

Primary practice location

721 Norwich Rd
Plainfield, CT 06374-1734

Mailing address

721 Norwich Rd
Plainfield, CT 06374-1734

Other providers in Plainfield, CT

All providers in Plainfield, CT · General Practice Dentistry in Connecticut

Sources for this page

Verify at the official NPI Registry.