Lee, Kellie K
Lee, Kellie K is an sole proprietor health care provider with primary practice located at 605 Broad Ave Ste 202 , Ridgefield NJ 07657-1604. She recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dentist. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Lee, Kellie K can be contacted via phone (201) 224-9968.Contact Information
Primary practice address
605 Broad Ave Ste 202
Ridgefield NJ 07657-1604
Phone: (201) 224-9968
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 113017 | California |
| Dental Providers / Dentist | 122300000X | 22DI02988000 | New Jersey |
Profile Details
| NPI number | 1528821998 |
|---|---|
| LBN Legal business name | Lee, Kellie K |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2024 |
| Last updated | Jun 23rd, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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