Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790281202 Individual Practitioner Female Practitioner

Dr. Crystal J Lee , DDS

Dentist - General Practice • San Clemente, CA

Professional Overview & Biography Verified Profile Summary

Dr. Crystal Lee, DDS is a registered healthcare professional specializing in Dentist - General Practice in San Clemente, CA. Practice services are available at 903 CALLE AMANECER STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

903 Calle Amanecer Ste 110

San Clemente, CA 926736253

Telephone 9493612838
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in San Clemente, CA

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

Practicing in San Clemente, 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

CMS Verified: 2021-01-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 104153

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
Dr. Jacob Lee , DDS

Dentist - Pediatric Dentistry

NPI 1083768725

Doctor of Dental Surgery

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location January 25, 2021

Registered at 903 CALLE AMANECER STE 110, SAN CLEMENTE, CA 926736253 (Tel: 9493612838)

📍
Updated Business Mailing Address June 30, 2020

Registered at 151 ACAMAR, IRVINE, CA 926181054 (Tel: 9098158826)

📍
Updated Practice Location July 24, 2019

Registered at 9800 GARDEN GROVE BLVD, GARDEN GROVE, CA 928441617 (Tel: 9098158826)

📍
Updated Business Mailing Address July 24, 2019

Registered at 3061 W 12TH PL UNIT 203, LOS ANGELES, CA 900063195 (Tel: 9098158826)

👤
Provider Name / Credentials Updated July 24, 2019

Recorded as CRYSTAL LEE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2019

Dentist (License #104153 in CA)

NPI Profile Active April 03, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2018

Registered at 737 S KINGSLEY DR APT 207, LOS ANGELES, CA 900052497 (Tel: 9098158826)

📍
Updated Business Mailing Address April 03, 2018

Registered at 737 S KINGSLEY DR APT 207, LOS ANGELES, CA 900052497 (Tel: 9098158826)

👤
Provider Name / Credentials Updated April 03, 2018

Recorded as CRYSTAL LEE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 03, 2018

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: 1790281202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2018
Last Update: January 25, 2021
Sole Proprietor: Yes

Mailing Address

151 Acamar

Irvine, CA 926181054

Phone: 9098158826

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.