Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bryan D Lee, DDS, MD

Individual provider General Practice Dentistry · NPI 1790905495

Bryan D Lee, DDS, MD is a General Practice Dentistry in Rexburg, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

360 E Main St
Rexburg, ID 83440
Phone: (208) 356-5959
Fax: (208) 356-5559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence M-11482 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D-3542 (ID)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence D-3542-OS (ID)

Record details

NPI number1790905495
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MD
Sole proprietorYes
NPI enumeratedApril 26, 2007
Last updated in NPPESMay 29, 2015
Mailing address360 E. Main St., Rexburg, ID 83440

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