Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jae Yong Lee, DMDPHD

Individual provider Dentist · NPI 1285263012

Dr. Jae Yong Lee, DMDPHD is a Dentist in Louisville, Kentucky. Practices as a sole proprietor. Licensed in California, Indiana, Kentucky and Ohio and 2 more.

Licensed in
CA, IN, KY, OH, TN, VA
In the registry since
2020
Specialties on file
6
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Practice location Address checks out

5014B Preston Hwy
Louisville, KY 40213-2217
Phone: (502) 966-0188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 10520 (KY)
Dentist Taxonomy 122300000X · Licence 0401417153 (VA)
Dentist Taxonomy 122300000X · Licence 12013758A (IN)
Dentist Taxonomy 122300000X · Licence 30.027201 (OH)
Dentist Taxonomy 122300000X · Licence 11405 (TN)
Dentist Taxonomy 122300000X · Licence 105652 (CA)

Record details

NPI number1285263012
Entity typeIndividual (Type 1)
GenderMale
Credentials DMDPHD
Sole proprietorYes
NPI enumeratedApril 3, 2020
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026

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