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JENNIFER LEE
NPI 1104512763
Dentist - General Practice in Bridgeport, CT

Active since April 14, 2023
161 BOSTON AVE, BRIDGEPORT, CT 06610(203) 873-0598 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2026, Apr 14, 2023 (2 updates tracked since 2023).

About Jennifer Lee NPPES

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

JENNIFER LEE (NPI 1104512763) is an individual general practice provider in Bridgeport, Connecticut, licensed in Connecticut (14789) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1104512763
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJENNIFER LEE
Location Address161 BOSTON AVEBridgeport, CT 06610-1662
Mailing Address1011 Washington Blvd Unit 601Stamford, CT 06901-2224 · (512) 554-4102
Phone(203) 873-0598
Sole ProprietorNo
Enumeration DateApril 14, 2023
Last NPPES UpdateMay 27, 20262 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1104512763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CT · 14789
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
161 BOSTON AVE, Bridgeport, CT 06610
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Other Providers at the Same Location NPPES 6

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

SPH BRIDGEPORT, LLC
Dentist (General Practice)
161 BOSTON AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 873-0598
SELVATOR GJOKA DMD
Dentist
161 BOSTON AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 873-0598
QUENTIN MEDICAL GROUP, LLC
Clinic/Center (Urgent Care)
161 BOSTON AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 333-4400
SPH ENTERPRISE LLC
Dentist (General Practice)
161 BOSTON AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 873-0598
DR. WASEEM SHAHID M.D.
Family Medicine
161 BOSTON AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 333-4400
CARLY KRISAVAGE PHYSICIAN ASSISTANT
Physician Assistant
161 BOSTON AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 333-4400

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 Jennifer Lee's NPI number?

The NPI number for Jennifer Lee is 1104512763. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Where is Jennifer Lee located?

Jennifer Lee practices at 161 Boston Ave, Bridgeport, CT 06610. The listed phone number is (203) 873-0598.

What is Jennifer Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jennifer Lee was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.