Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639879943 Individual Practitioner Male Practitioner

Kyle Kyoungroh Lee

Dentist - General Practice • Deep River, CT

Professional Overview & Biography Verified Profile Summary

Kyle Lee is a registered healthcare professional specializing in Dentist - General Practice in Deep River, CT. Practice services are available at 199 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

199 Main St

Deep River, CT 064172021

Telephone 8605269519
Associated Practice Facility / Clinic
🏢 Deep River Family Dental Pllc Facility NPI 1548002496

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Deep River, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Deep River, 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: 2024-09-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CT 14130

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

725 E Main St

Meriden, CT 064506005

Phone: 2032354930

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Howard Tunick , DDS

Dentist - General Practice

NPI 1487759478

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 13, 2024

Registered at 199 MAIN ST, DEEP RIVER, CT 064172021 (Tel: 8605269519)

📍
Updated Business Mailing Address September 13, 2024

Registered at 199 MAIN ST, DEEP RIVER, CT 064172021 (Tel: 8605269519)

NPI Profile Active March 06, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2023

Registered at 635 ALBANY ST, BOSTON, MA 021183550 (Tel: 6173588300)

📍
Updated Business Mailing Address March 06, 2023

Registered at 635 ALBANY ST, BOSTON, MA 021183550 (Tel: 6173588300)

👤
Provider Name / Credentials Updated March 06, 2023

Recorded as KYLE LEE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 06, 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: 1639879943
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2023
Last Update: September 13, 2024
Sole Proprietor: Yes

Mailing Address

199 Main St

Deep River, CT 064172021

Phone: 8605269519

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.