Bryan D Lee is a Rexburg, Idaho based Dentist with
18 years of experience in
General Practice Dentistry. He completed his graduation from
Louisiana State University School Of Medicine In New Orleans in 2007. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Bryan D Lee is
M-11482 in Idaho. His current practice location is
360 E. Main St., Rexburg. Patients can reach him at
208-356-5959.
Bryan D Lee is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Bryan D Lee speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Bryan D Lee |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS, MD |
| Experience: | 18+ years |
| Medical School Attended: | Louisiana State University School Of Medicine In New Orleans |
| Graduation Year: | 2007 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 360 E. Main St., Rexburg,
Idaho, 83440 |
| Phone: | 208-356-5959 |
| Fax: | 208-356-5559 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0042470262 |
| Enrollment ID: | I20120327000080 |
| NPI Number: | 1790905495 |
| NPI Enumeration Date: | 26 Apr, 2007 |
| NPI Last Update On: | 29 May, 2015 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bryan D Lee are as mentioned below.
| License Number | Specialization | State | Status | |
| M-11482 | | Idaho | Primary | |
| D-3542 | General Practice Dentistry | Idaho | Secondary | |
| D-3542-OS | Oral and Maxillofacial Surgery | Idaho | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Bryan D Lee such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 806068200 | Medicaid | Idaho | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 360 E. Main St.,
Rexburg, Idaho |
| Zip: | 83440 |
| Phone Number: | 208-356-5959 |
| Fax Number: | 208-356-5559 |
Patients can reach Bryan D Lee at
360 E. Main St., Rexburg, Idaho or can
call to book an appointment on 208-356-5959.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.