Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255064614 Individual Practitioner Male Practitioner

Kenneth Lee

Dentist - General Practice • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Kenneth Lee is a registered healthcare professional specializing in Dentist - General Practice in Chicago, IL. Practice services are available at 3210 W 63RD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3210 W 63rd St

Chicago, IL 606293325

Telephone 7737768300
Associated Practice Facility / Clinic
🏢 The Dental Clinic, Llc Facility NPI 1538330527

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1200 Specialists

Practicing in Chicago, IL (5581 Statewide)

Telehealth Adoption Rate
0.1% 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: 2023-08-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.033918

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

3057 W Cermak Rd

Chicago, IL 606233548

Phone: 7732570200

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Ayesha Abdullah-Ewing , DDS

Dentist - General Practice

NPI 1255465001

Doctor of Dental Surgery

NPI 1346477619

Doctor of Dental Surgery

Dr. Nausheen Saloda , DDS

Dentist - General Practice

NPI 1447053392

Doctor of Dental Surgery

NPI 1447453410

Doctor of Dental Surgery

NPI 1992933915

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location August 24, 2023

Registered at 3210 W 63RD ST, CHICAGO, IL 606293325 (Tel: 7737768300)

NPI Profile Active July 05, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2022

Registered at 3057 W CERMAK RD, CHICAGO, IL 606233548 (Tel: 7732570200)

📍
Updated Business Mailing Address July 05, 2022

Registered at 2 BAY CLUB DR APT 16K, BAYSIDE, NY 113602930 (Tel: 3475514311)

👤
Provider Name / Credentials Updated July 05, 2022

Recorded as KENNETH LEE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 05, 2022

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: 1255064614
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2022
Last Update: August 24, 2023
Sole Proprietor: Yes

Mailing Address

2 Bay Club Dr Apt 16k

Bayside, NY 113602930

Phone: 3475514311

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.