KELLY LEE
NPI 1134615339
Dentist in Marana, AZ

Active since July 11, 2018PECOS Enrolled
12080 N DOVE MOUNTAIN BLVD STE 140, MARANA, AZ 85658(520) 367-2742 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 24, 2022, Aug 19, 2021, Apr 21, 2020 and 1 more (4 updates tracked since 2018).

About Kelly Lee NPPES

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

KELLY LEE (NPI 1134615339) is an individual dentist in Marana, Arizona, licensed in Arizona (D010082) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134615339
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKELLY LEE
Location Address12080 N DOVE MOUNTAIN BLVD STE 140Marana, AZ 85658-4553
Mailing Address12080 N Dove Mountain Blvd Ste 140Marana, AZ 85658-4553 · (520) 367-2742
Sole ProprietorNo
Enumeration DateJuly 11, 2018
Last NPPES UpdateAugust 24, 20224 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
NPI 1134615339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in AZ · D010082
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

12080 N DOVE MOUNTAIN BLVD STE 140, Marana, AZ 85658

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Lee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85658 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Dentist
12080 N DOVE MOUNTAIN BLVD STE 140
MARANA, AZ 85658

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134615339, enumerated as an "individual" on July 11, 2018.

The provider is located at 12080 N DOVE MOUNTAIN BLVD STE 140 MARANA, AZ 85658 and the phone number is (520) 367-2742.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, BEST Life,. Please consult your insurance carrier or call the provider to verify.