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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205398021

Dr. Jason Lee is a Student in an Organized Health Care Education/Training Program in Scarsdale, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1075 Central Park Ave Ste 207
Scarsdale, NY 10583-3250
Phone: (914) 472-5252
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Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 063308 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1205398021
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2019
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address1075 Central Park Ave Ste 207, Scarsdale, NY 10583-3250

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