Kellie K Lee, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

113017 Issued in CA

Practice address

605 Broad Ave Ste 202
Ridgefield, NJ 07657-1604

Phone

(201) 224-9968

NPI assigned

Jan 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1528821998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOYDEN AVE APT 336",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402596",
            "telephone_number": "916-838-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 BROAD AVE STE 202",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571604",
            "telephone_number": "201-224-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KELLIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "113017",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02988000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Marie Krolick, LPC
• Regina Krug, P.T.
• Hyuk Y Kwon, L.AC
• Susan Leahy-Mulroe, LCSW
• Jun Yup Lee, D.C.
• Mimi Shon Lee, MD
• Monica Lee, O.D.
• Seung Ho Lee, M.D.
• Sharon Inyoung Lee, PHARMD
• Michele Julie Lewis, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Ridgefield, NJ
• Providers in Ridgefield, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.