BRENT D LEE D.D.S., M.S.
NPI 1154495802
Dentist - Oral and Maxillofacial Surgery in Pocatello, ID

Q: What is Brent Lee's NPI number?

The NPI number for Brent Lee is 1154495802. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Q: What is Brent Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Brent 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.

Active since November 17, 2006

165 N 14TH AVE, POCATELLO, ID 83201(208) 232-2807(208) 232-8118 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brent D Lee D.d.s., M.s. NPPES

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

BRENT D LEE D.D.S., M.S. (NPI 1154495802) is an individual oral and maxillofacial surgery provider in Pocatello, Idaho, licensed in Idaho (D1494) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1154495802

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameBRENT D LEECredential: D.D.S., M.S.

Location Address165 N 14TH AVEPocatello, ID 83201-4146

Mailing AddressPo Box 6033, 165 N 14th AvePocatello, ID 83205-6033 · (208) 232-2807 · Fax (208) 232-8118

Phone(208) 232-2807

Fax(208) 232-8118

Sole ProprietorNo

Enumeration DateNovember 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1154495802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in ID · D1494

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

165 N 14TH AVE, Pocatello, ID 83201

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Other Identifiers 4

Medicare UPINT44220ID

Other6M097ID · Blue Cross

Medicare ID-Type Unspecified1203327ID

Other000010009592ID · Railroad

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.

DR. MARK ENSIO BAKER D.D.S.

Dentist (Oral and Maxillofacial Surgery)

165 N 14TH AVE
POCATELLO, ID 83201

Bannock County (208) 232-2807

FACIAL & ORAL SURGERY ASSOCIATES, INC.

Dentist (Oral and Maxillofacial Surgery)

165 N 14TH AVE
POCATELLO, ID 83201

Bannock County (208) 232-2807

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 Brent Lee's NPI number?

The NPI number for Brent Lee is 1154495802. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Brent Lee located?

Brent Lee practices at 165 N 14th Ave, Pocatello, ID 83201. The listed phone number is (208) 232-2807.

What is Brent Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Brent 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.