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

Dr. Kyu Jin Lee, DDS

Individual provider Periodontics · NPI 1932986056

Dr. Kyu Jin Lee, DDS is a Periodontics in Roseville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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

2550 Douglas Blvd Ste 100
Roseville, CA 95661-3996
Phone: (916) 786-7070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 109359 (CA)

Record details

NPI number1932986056
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 12, 2023
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

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