DR. JACOB K. LEE D.D.S.
NPI 1083768725
Dentist - Pediatric Dentistry in San Clemente, CA

Active since January 22, 2007
903 CALLE AMANECER STE 160, SAN CLEMENTE, CA 92673(949) 361-2838(949) 361-2838 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jacob K. Lee D.d.s. NPPES

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

DR. JACOB K. LEE D.D.S. (NPI 1083768725) is an individual pediatric dentistry provider in San Clemente, California, licensed in California (38710) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1083768725
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JACOB K. LEECredential: D.D.S.
Location Address903 CALLE AMANECER STE 160San Clemente, CA 92673-6272
Mailing Address903 Calle Amanecer Ste 160San Clemente, CA 92673-6272 · (949) 361-2838 · Fax (949) 361-2838
Fax(949) 361-2838
Sole ProprietorYes
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1083768725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in CA · 38710
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
903 CALLE AMANECER STE 160, San Clemente, CA 92673

Other Identifiers 1

Other330880247CA · Feid

Accepted Insurance

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 Jacob Lee's NPI number?

The NPI number for Jacob Lee is 1083768725. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Jacob Lee located?

Jacob Lee practices at 903 Calle Amanecer Ste 160, San Clemente, CA 92673. The listed phone number is (949) 361-2838.

What is Jacob Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Jacob Lee accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Jacob Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Lee was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.