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

Dr. Jai Goo Lee, DDS

Individual provider General Practice Dentistry · NPI 1164497319

Dr. Jai Goo Lee, DDS is a General Practice Dentistry in Lakeport, California. Works from 2 locations. Licensed in California and Oregon.

Licensed in
CA, OR
In the registry since
2006
Specialties on file
2
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.

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Practice location Address checks out

925 Bevins Ct
Lakeport, CA 95453-9754
Phone: (707) 263-8383
Fax: (707) 263-5019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14440 Olympic Drive, Clearlake, CA 95422-8809 — (707) 263-8383

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 103634 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence D8660 (OR)

Record details

NPI number1164497319
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 21, 2006
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

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