Individual
KYLE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2730
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2730
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6338
AL
1223G0001X
General Practice Dentistry
0401418669
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000494
VA
Other
Enumeration date
07/22/2016
Last updated
05/07/2026
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