DR. NICOLE SANG-AH LEE DDS
NPI 1043844889
Oral & Maxillofacial Surgery in Santa Clara, CA

Active since March 02, 2020
1150 SCOTT BLVD STE D1, SANTA CLARA, CA 95050(408) 248-9597 Get Directions Write a Review

NPPES record last updated: December 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2025, Oct 11, 2025, Mar 2, 2020 (3 updates tracked since 2020).

About Dr. Nicole Sang-ah Lee Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICOLE SANG-AH LEE DDS (NPI 1043844889) is an individual oral & maxillofacial surgery provider in Santa Clara, California, licensed in California (206406) and active in the NPI registry since March 2020. She maintains a secondary practice location in Fremont.

NPPES Registry Identity

NPI1043844889
Entity TypeIndividualFemale
Primary Taxonomy204E00000X
Provider Legal NameDR. NICOLE SANG-AH LEECredential: DDS
Location Address1150 SCOTT BLVD STE D1Santa Clara, CA 95050-4547
Mailing Address1150 Scott Blvd Ste D1Santa Clara, CA 95050-4547 · (408) 248-9597
Sole ProprietorYes
Enumeration DateMarch 2, 2020
Last NPPES UpdateDecember 20, 20253 updates tracked since enumeration
NPPES CertifiedDecember 20, 2025
NPI 1043844889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in CA · 206406
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
1150 SCOTT BLVD STE D1, Santa Clara, CA 95050

Secondary Practice Location 1

Location 14545 Mattos DrFremont, CA 94536-6736 · Phone (510) 792-9405

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Oral & Maxillofacial Surgery
1150 SCOTT BLVD STE D1
SANTA CLARA, CA 95050
Family Medicine (Sports Medicine)
1150 SCOTT BLVD STE D1
SANTA CLARA, CA 95050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Lee's NPI number?

The NPI number for Nicole Lee is 1043844889. It was assigned to this individual provider in the NPPES registry on March 2, 2020.

Where is Nicole Lee located?

Nicole Lee practices at 1150 Scott Blvd Ste D1, Santa Clara, CA 95050. The listed phone number is (408) 248-9597.

What is Nicole Lee's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Nicole Lee was last updated on December 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.