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

Jason Lee

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1790487403

Jason Lee is an Oral and Maxillofacial Surgery (Dentist) in Los Angeles, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

714 Tiverton Ave
Los Angeles, CA 90095-8361
Phone: (310) 825-0834
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 111720 (CA)

Record details

NPI number1790487403
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025

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