Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750501540 Individual Practitioner Male Practitioner

Dr. Dae Won Lee , DDS

Dentist - General Practice • Moreno Valley, CA

Professional Overview & Biography Verified Profile Summary

Dr. Dae Lee, DDS is a registered healthcare professional specializing in Dentist - General Practice in Moreno Valley, CA. Practice services are available at 12190 PERRIS BLVD STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12190 Perris Blvd Ste D

Moreno Valley, CA 925577422

Telephone 9514860550
Fax 9514860566
Associated Practice Facility / Clinic
🏢 Yahya Jaber Dental Corp Facility NPI 1629213657

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Moreno Valley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
52 Specialists

Practicing in Moreno Valley, 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

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 53618

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1427113927

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2016

Registered at 12190 PERRIS BLVD STE D, MORENO VALLEY, CA 925577422 (Tel: 9514860550)

📍
Updated Business Mailing Address April 11, 2016

Registered at 75 SUNFLOWER ST, REDLANDS, CA 923734211 (Tel: 9093121076)

👤
Provider Name / Credentials Updated April 11, 2016

Recorded as DAE LEE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2016

Dentist (License #53618 in CA)

🟢
Initial NPI Registration & Enumeration April 26, 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: 1750501540
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2007
Last Update: April 11, 2016
Sole Proprietor: No

Mailing Address

75 Sunflower St

Redlands, CA 923734211

Phone: 9093121076

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.