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KEVIN LEE DDS
NPI 1790510659
Dentist in Stockton, CA

Active since September 02, 2024
3453 BROOKSIDE RD STE A, STOCKTON, CA 95219(408) 759-0304 Get Directions Write a Review

NPPES record last updated: September 2, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kevin Lee Dds NPPES

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

KEVIN LEE DDS (NPI 1790510659) is an individual dentist in Stockton, California, licensed in California (DDS110108) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1790510659
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKEVIN LEECredential: DDS
Location Address3453 BROOKSIDE RD STE AStockton, CA 95219-1788
Mailing Address2568 Rolling Hills CtAlamo, CA 94507-2309
Phone(408) 759-0304
Sole ProprietorYes
Enumeration DateSeptember 2, 2024
NPPES CertifiedSeptember 2, 2024
✔ NPI 1790510659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · DDS110108
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3453 BROOKSIDE RD STE A, Stockton, CA 95219
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. BRYCE ASHTON DDS
Dentist (General Practice)
3453 BROOKSIDE RD STE A
STOCKTON, CA 95219
San Joaquin County (209) 955-1500
AMANDA PHUONG LE DMD
Dentist (General Practice)
3453 BROOKSIDE RD STE A
STOCKTON, CA 95219
San Joaquin County (209) 955-1500

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 Kevin Lee's NPI number?

The NPI number for Kevin Lee is 1790510659. It was assigned to this individual provider in the NPPES registry on September 2, 2024.

Where is Kevin Lee located?

Kevin Lee practices at 3453 Brookside Rd Ste A, Stockton, CA 95219. The listed phone number is (408) 759-0304.

What is Kevin Lee's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Kevin Lee was last updated on September 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.