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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KYLE KYOUNGROH LEE

Active Sole Proprietor

KYLE KYOUNGROH LEE is a General Dentistry healthcare provider located in DEEP RIVER, Connecticut. NPI 1639879943 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · DEEP RIVER, CT

Registration Details

NPI Number
1639879943
Provider Type
Individual
Gender
Male
NPI Issued
Mar 6, 2023 (3.4523653264485 yrs)
Last Updated
Sep 13, 2024
License
14130 (CT)
Sole Proprietor
Yes

Practice Information

Address
199 MAIN ST
DEEP RIVER, CT, 064172021
Browse CT providers · Browse ZIP 06417
Phone
8605269519
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in DEEP RIVER, CT

Name Credential NPI
DR. HOWARD TUNICK DDS 1487759478
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.