Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841817657 Individual Practitioner Female Practitioner

Dr. Kimberly Nicole Lee , DMD

Dentist - General Practice • Madison, MS

Professional Overview & Biography Verified Profile Summary

Dr. Kimberly Lee, DMD is a registered healthcare professional specializing in Dentist - General Practice in Madison, MS. Practice services are available at 105 BROADMOOR DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105 Broadmoor Dr

Madison, MS 391106651

Telephone 6018565227
Associated Practice Facility / Clinic
🏢 Key Dental Group Facility NPI 1316353998

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Madison, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
25 Specialists

Practicing in Madison, MS (895 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: 2020-06-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MS 4127-20

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

5 Associated Practitioners
Dr. Jason Ross , DDS

Dentist - General Practice

NPI 1093409153

Doctor of Dental Surgery

NPI 1184769804

Doctor of Dental Medicine

NPI 1508996802

Doctor of Dental Medicine

NPI 1538298492

Doctor of Dental Medicine

Dr. Joseph Collins , DMD

Dentist - General Practice

NPI 1740639764

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2020

Registered at 105 BROADMOOR DR, MADISON, MS 391106651 (Tel: 6018565227)

📍
Updated Business Mailing Address June 26, 2020

Registered at 111 SILVERLEAF DR, MADISON, MS 391101801 (Tel: 6012483757)

👤
Provider Name / Credentials Updated June 26, 2020

Recorded as KIMBERLY LEE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2020

Dentist (License #4127-20 in MS)

🟢
Initial NPI Registration & Enumeration June 26, 2020

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: 1841817657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2020
Last Update: June 26, 2020
Sole Proprietor: No

Mailing Address

111 Silverleaf Dr

Madison, MS 391101801

Phone: 6012483757

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.