Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104512763 Individual Practitioner Female Practitioner

Jennifer Lee

Dentist - General Practice • Bridgeport, CT

Professional Overview & Biography Verified Profile Summary

Jennifer Lee is a registered healthcare professional specializing in Dentist - General Practice in Bridgeport, CT. Practice services are available at 161 BOSTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

161 Boston Ave

Bridgeport, CT 066101662

Telephone 2038730598
Associated Practice Facility / Clinic
🏢 Sph Enterprise Llc Facility NPI 1609199074

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bridgeport, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.5 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
61 Specialists

Practicing in Bridgeport, CT (1821 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: 2026-05-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CT 14789

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

2 Associated Practitioners
NPI 1316661051

Doctor of Dental Medicine

Dr. Do Hyeon Kim , DDS

Dentist - General Practice

NPI 1386050474

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 27, 2026

Registered at 161 BOSTON AVE, BRIDGEPORT, CT 066101662 (Tel: 2038730598)

📍
Updated Business Mailing Address May 27, 2026

Registered at 1011 WASHINGTON BLVD UNIT 601, STAMFORD, CT 069012224 (Tel: 5125544102)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2026

Dentist (License #14789 in CT)

NPI Profile Active April 14, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2023

Registered at 3302 GASTON AVE, DALLAS, TX 752462013 (Tel: 2148288215)

📍
Updated Business Mailing Address April 14, 2023

Registered at 3302 GASTON AVE, DALLAS, TX 752462013 (Tel: 2148288215)

👤
Provider Name / Credentials Updated April 14, 2023

Recorded as JENNIFER LEE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 14, 2023

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: 1104512763
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2023
Last Update: May 27, 2026
Sole Proprietor: No

Mailing Address

1011 Washington Blvd Unit 601

Stamford, CT 069012224

Phone: 5125544102

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.