KYLE KYOUNGROH LEE
NPI 1639879943
Dentist - General Practice in Deep River, CT

Active since March 06, 2023
199 MAIN ST, DEEP RIVER, CT 06417(860) 526-9519 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2024, Mar 6, 2023 (2 updates tracked since 2023).

About Kyle Kyoungroh Lee NPPES

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

KYLE KYOUNGROH LEE (NPI 1639879943) is an individual general practice provider in Deep River, Connecticut, licensed in Connecticut (14130) and active in the NPI registry since March 2023. He maintains a secondary practice location in Meriden.

NPPES Registry Identity

NPI1639879943
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKYLE KYOUNGROH LEE
Location Address199 MAIN STDeep River, CT 06417-2021
Mailing Address199 Main StDeep River, CT 06417-2021 · (860) 526-9519
Sole ProprietorYes
Enumeration DateMarch 6, 2023
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
NPI 1639879943 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 CT · 14130
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.
199 MAIN ST, Deep River, CT 06417

Secondary Practice Location 1

Location 1725 E Main StMeriden, CT 06450-6005 · Phone (203) 235-4930

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 (General Practice)
199 MAIN ST
DEEP RIVER, CT 06417
Dentist (General Practice)
199 MAIN ST
DEEP RIVER, CT 06417

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 Kyle Lee's NPI number?

The NPI number for Kyle Lee is 1639879943. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Kyle Lee located?

Kyle Lee practices at 199 Main St, Deep River, CT 06417. The listed phone number is (860) 526-9519.

What is Kyle Lee's specialty?

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

What insurance does Kyle Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Kyle 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 Kyle Lee was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.