Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SE RIN LEE DDS, MD
NPI 1629579479
Oral & Maxillofacial Surgery in West Hartford, CT

Q: What is Se Rin Lee's NPI number?

The NPI number for Se Rin Lee is 1629579479. It was assigned to this individual provider in the NPPES registry on February 27, 2018. The provider is also known as Serin Lee.

Q: What is Se Rin Lee's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: When was this NPI record last updated?

The NPPES record for Se Rin Lee was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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 February 27, 2018PECOS Enrolled

928 FARMINGTON AVE, WEST HARTFORD, CT 06107(860) 232-4606 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 4, 2026, Sep 3, 2018, Feb 27, 2018 (3 updates tracked since 2018).

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About Se Rin Lee Dds, Md NPPES

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

SE RIN LEE DDS, MD (NPI 1629579479) is an individual oral & maxillofacial surgery provider in West Hartford, Connecticut, licensed in Connecticut (14813) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629579479

Entity TypeIndividualFemale

Primary Taxonomy204E00000X

Provider Legal NameSE RIN LEECredential: DDS, MD

Location Address928 FARMINGTON AVEWest Hartford, CT 06107-2227

Mailing Address928 Farmington AveWest Hartford, CT 06107-2227 · (860) 232-4606

Phone(860) 232-4606

Sole ProprietorNo

Enumeration DateFebruary 27, 2018

Last NPPES UpdateSeptember 4, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2026

✔ NPI 1629579479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in CT · 14813

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

928 FARMINGTON AVE, West Hartford, CT 06107

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Other Names 1

Other Name (5)Serin Lee

Secondary Practice Locations 2

Location 1131 New London Tpke Ste 106Glastonbury, CT 06033-2246 · Phone (860) 659-2623

Location 2483 Middle Tpke W Ste 102Manchester, CT 06040-3864 · Phone (860) 649-2272

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Se Rin Lee Dds, Md 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.

Other Providers at the Same Location NPPES 20

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

DR. JOHN WILLIAM ROSENLIEB JR. DMD

Dentist