GAJIN LEE
NPI 1689377483
Dentist - General Practice in Jacksonville, NC

Active since March 22, 2023
461 WESTERN BLVD STE 104, JACKSONVILLE, NC 28546(910) 346-2202 Get Directions Write a Review

NPPES record last updated: July 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2025, Jul 5, 2025, Mar 22, 2023 (3 updates tracked since 2023).

About Gajin Lee NPPES

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

GAJIN LEE (NPI 1689377483) is an individual general practice provider in Jacksonville, North Carolina, licensed in North Carolina (14331) and active in the NPI registry since March 2023. She maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1689377483
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameGAJIN LEE
Location Address461 WESTERN BLVD STE 104Jacksonville, NC 28546-7637
Mailing Address5079 Western Blvd Apt 3fJacksonville, NC 28546-7187 · (551) 404-8394
Sole ProprietorNo
Enumeration DateMarch 22, 2023
Last NPPES UpdateJuly 12, 20253 updates tracked since enumeration
NPPES CertifiedJuly 12, 2025
NPI 1689377483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 14331
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.
461 WESTERN BLVD STE 104, Jacksonville, NC 28546

Secondary Practice Location 1

Location 1622 W 168th StNew York, NY 10032-3720 · Phone (212) 305-6100

Accepted Insurance

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 Gajin Lee's NPI number?

The NPI number for Gajin Lee is 1689377483. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Gajin Lee located?

Gajin Lee practices at 461 Western Blvd Ste 104, Jacksonville, NC 28546. The listed phone number is (910) 346-2202.

What is Gajin Lee's specialty?

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

What insurance does Gajin Lee accept?

Health plans from Delta Dental of North Carolina and Guardian list Gajin 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 Gajin Lee was last updated on July 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.