# DR. JAE YONG LEE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1285263012
- **Gender:** Man
- **Credential:** DMD PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401417153 | VA | — |
| 122300000X | Dentist | 10520 | KY | Yes |
| 122300000X | Dentist | 105652 | CA | — |
| 122300000X | Dentist | 11405 | TN | — |
| 122300000X | Dentist | 12013758A | IN | — |
| 122300000X | Dentist | 30.027201 | OH | — |

## Other

- **Enumeration date:** 04/03/2020
- **Last updated:** 04/01/2026