Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588983019 Individual Practitioner Male Practitioner

Dr. Kiwon Lee , DDS

Dentist - General Practice • Montvale, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Kiwon Lee, DDS is a registered healthcare professional specializing in Dentist - General Practice in Montvale, NJ. Practice services are available at 305 W GRAND AVE STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

305 W Grand Ave Ste 100

Montvale, NJ 076451829

Telephone 2017469474
Fax 2017469473
Associated Practice Facility / Clinic
🏢 Kiwon Lee, D.d.s., Pc Facility NPI 1528579273

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Montvale, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Montvale, NJ (4316 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: 2022-09-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI02591500

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NY 058305-1

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
Dr. Ryan Foree , DDS

Dentist - Pediatric Dentistry

NPI 1326792508

Doctor of Dental Surgery

Dr. Anton Kiryako , DDS

Student in an Organized Health Care Education/Training Program

NPI 1548195167

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 September 13, 2022

Registered at 305 W GRAND AVE STE 100, MONTVALE, NJ 076451829 (Tel: 2017469474)

NPI Profile Active February 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2017

Registered at 65 BROADWAY STE 901, NEW YORK, NY 100062535 (Tel: 2126830174)

📍
Updated Business Mailing Address February 12, 2017

Registered at 65 BROADWAY STE 901, NEW YORK, NY 100062535 (Tel: 2126830174)

👤
Provider Name / Credentials Updated February 12, 2017

Recorded as KIWON LEE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2017

Dentist (License #058305-1 in NY)

NPI Profile Active August 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2016

Registered at 65 BROADWAY, NEW YORK, NY 100062503 (Tel: 2019576828)

📍
Updated Business Mailing Address August 10, 2016

Registered at 7407 SKYLINE DR, FORT LEE, NJ 070242220 (Tel: 2019576828)

👤
Provider Name / Credentials Updated August 10, 2016

Recorded as KIWON LEE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2016

Dentist (License #22DI02591500 in NJ)

🟢
Initial NPI Registration & Enumeration May 24, 2010

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: 1588983019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2010
Last Update: September 13, 2022
Sole Proprietor: Yes

Mailing Address

65 Broadway Ste 901

New York, NY 100062535

Phone: 2126830174

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.