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KENNETH LEE
NPI 1255064614
Dentist - General Practice in Chicago, IL

Active since July 05, 2022
3210 W 63RD ST, CHICAGO, IL 60629(773) 776-8300 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2023, Aug 24, 2022, Jul 5, 2022 (3 updates tracked since 2022).

About Kenneth Lee NPPES

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

KENNETH LEE (NPI 1255064614) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019.033918) and active in the NPI registry since July 2022. He maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1255064614
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKENNETH LEE
Location Address3210 W 63RD STChicago, IL 60629-3325
Mailing Address2 Bay Club Dr Apt 16kBayside, NY 11360-2930 · (347) 551-4311
Phone(773) 776-8300
Sole ProprietorYes
Enumeration DateJuly 5, 2022
Last NPPES UpdateAugust 24, 20233 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
✔ NPI 1255064614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.033918
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3210 W 63RD ST, Chicago, IL 60629
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Secondary Practice Location 1

Location 13057 W Cermak RdChicago, IL 60623-3548 · Phone (773) 257-0200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

AARON MULLHOLAND D.D.S.
Dentist (General Practice)
3210 W 63RD ST
CHICAGO, IL 60629
Cook County (312) 274-4524
DR. AYESHA BAKIR ABDULLAH-EWING DDS
Dentist (General Practice)
3210 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 776-8300
DR. NAUSHEEN SALODA DDS
Dentist (General Practice)
3210 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 776-8300
DR. RICHARD CHI D.D.S.
Dentist
3210 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 776-8300
THE DENTAL CLINIC, LLC
Dentist (General Practice)
3210 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 776-8300
ALALEH DOWLATSHAHI DDS
Dentist
3210 W 63RD ST
CHICAGO, IL 60629
Cook County (312) 274-0308
MR. PATRICK KEONE MIYAMASU D.D.S.
Dentist
3210 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 776-8300

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 Kenneth Lee's NPI number?

The NPI number for Kenneth Lee is 1255064614. It was assigned to this individual provider in the NPPES registry on July 5, 2022.

Where is Kenneth Lee located?

Kenneth Lee practices at 3210 W 63rd St, Chicago, IL 60629. The listed phone number is (773) 776-8300.

What is Kenneth Lee's specialty?

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

What insurance does Kenneth Lee accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 9 other insurers list Kenneth 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 Kenneth Lee was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.