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Active NPI 1619008034 Individual Practitioner Female Practitioner

Dr. Kelly Kyung A. Lee , DDS

Dentist - General Practice • Long Beach, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Lee, DDS is a certified Dentist - General Practice practicing in Long Beach, CA. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Lee delivers high-quality medical care to the local community at 2211 E. 7TH ST..

Dr. Lee does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2211 E. 7th St.

Long Beach, CA 90804

Telephone 5624396562
Fax 5624347892
Associated Practice Facility / Clinic
🏢 Dr. Campbell's Century Dental Facility NPI 1588871651

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Long Beach, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +8.0 yrs vs City Avg
City Avg: 13.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
186 Specialists

Practicing in Long Beach, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lee (21 Years) 21 Yrs
Long Beach Specialty Average (13.0 Years) 13.0 Yrs

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 53919

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2211 E. 7TH ST., LONG BEACH, CA 90804 (Tel: 5624396562)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1066 AGATE CT, GARDENA, CA 902472485 (Tel: 5624396562)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KELLY LEE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #53919 in CA)

🟢
Initial NPI Registration & Enumeration March 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619008034
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1066 Agate Ct

Gardena, CA 902472485

Phone: 5624396562

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.