Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255487112 Individual Practitioner Male Practitioner

Dr. John Lee , DDS

Dentist - General Practice • Flushing, NY

Professional Overview & Biography Verified Profile Summary

Dr. John Lee, DDS is a registered healthcare professional specializing in Dentist - General Practice in Flushing, NY. Practice services are available at 19316 NORTHERN BLVD STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19316 Northern Blvd Ste D

Flushing, NY 113582900

Telephone 3474381000

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Flushing, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
187 Specialists

Practicing in Flushing, NY (8411 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: 2026-04-22
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 052270-1

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02691909 (NY)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 22, 2026

Registered at 19316 NORTHERN BLVD STE D, FLUSHING, NY 113582900 (Tel: 3474381000)

📍
Updated Business Mailing Address April 22, 2026

Registered at 19316 NORTHERN BLVD STE D, FLUSHING, NY 113582900 (Tel: 3474381000)

NPI Profile Active February 27, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2016

Registered at 24536 76TH AVE # A, BELLEROSE, NY 114261802 (Tel: 7187723465)

📍
Updated Business Mailing Address February 27, 2016

Registered at 19316 NORTHERN BLVD, STE D, FLUSHING, NY 113582900 (Tel: 3474381000)

👤
Provider Name / Credentials Updated February 27, 2016

Recorded as JOHN LEE, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2016

Dentist (License #052270-1 in NY)

🟢
Initial NPI Registration & Enumeration January 25, 2007

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: 1255487112
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2007
Last Update: April 22, 2026
Sole Proprietor: Yes

Mailing Address

19316 Northern Blvd Ste D

Flushing, NY 113582900

Phone: 3474381000

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.