Jaerim Lee, DDS

Dentist · Enfield, CT

Individual Active NPI

NPI number 1508544602

Practice location

25 Hazard Ave
Enfield, CT 06082
Phone
(845) 372-3603

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NPI record

NPI
1508544602
Entity type
Individual (Type 1)
Enumeration date
July 10, 2023
Last updated
August 23, 2023
Certified
August 23, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 13890 CT
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

25 Hazard Avenue
Enfield, CT 06082
Phone
(845) 372-3692

About Dr. Lee

Jaerim Lee, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 25 Hazard Ave, Enfield, CT 06082. The NPI number 1508544602 was assigned on July 10, 2023 and the record was last updated on August 23, 2023.

Dr. Lee lists a license in the registry: #13890 (CT) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jaerim Lee, DDS?

The NPI number is 1508544602.

What is the phone number of Dr. Lee?

The phone number listed for the practice location is (845) 372-3603.

Where is Dr. Lee located?

25 Hazard Ave, Enfield, CT 06082.

What is the taxonomy code for Dr. Lee?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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