TIM LEE DDS
NPI 1336461284
Dentist - Oral and Maxillofacial Surgery in Roseville, CA

Active since February 19, 2010
9450 FAIRWAY DR, ROSEVILLE, CA 95678(504) 202-7789 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2021, Jul 23, 2021, Oct 17, 2017 and 2 more (5 updates tracked since 2016).

About Tim Lee Dds NPPES

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

TIM LEE DDS (NPI 1336461284) is an individual oral and maxillofacial surgery provider in Roseville, California, licensed in California (DDS63953) and active in the NPI registry since February 2010. He maintains a secondary practice location in Folsom.

NPPES Registry Identity

NPI1336461284
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameTIM LEECredential: DDS
Location Address9450 FAIRWAY DRRoseville, CA 95678-3588
Mailing Address2015 Hutley WayRoseville, CA 95746-7161 · (504) 202-7789
Sole ProprietorYes
Enumeration DateFebruary 19, 2010
Last NPPES UpdateNovember 22, 20215 updates tracked since enumeration
NPPES CertifiedNovember 22, 2021
NPI 1336461284 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 CA · DDS63953
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.
9450 FAIRWAY DR, Roseville, CA 95678

Secondary Practice Location 1

Location 11016 Riley StFolsom, CA 95630-3265 · Phone (916) 605-0468

Accepted Insurance

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.

Dentist
9450 FAIRWAY DR
ROSEVILLE, CA 95678
Dentist (General Practice)
9450 FAIRWAY DR
ROSEVILLE, CA 95678

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 Tim Lee's NPI number?

The NPI number for Tim Lee is 1336461284. It was assigned to this individual provider in the NPPES registry on February 19, 2010.

Where is Tim Lee located?

Tim Lee practices at 9450 Fairway Dr, Roseville, CA 95678. The listed phone number is (504) 202-7789.

What is Tim Lee's specialty?

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

What insurance does Tim Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Tim 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 Tim Lee was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.