Dr. Kang Yul Lee is a South Lake Tahoe, California based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kang Yul Lee is
45130 for General Practice Dentistry in California. His current practice location is
2180 Lake Tahoe Blvd., Ste #5, South Lake Tahoe. Patients can reach him at
530-541-8229.
Dr. Kang Yul 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:
Dr. Kang Yul 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: | Dr. Kang Yul Lee |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2180 Lake Tahoe Blvd., Ste #5, South Lake Tahoe,
California, 96150 |
| Phone: | 530-541-8229 |
| Fax: | 530-541-8964 |
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.
| NPI Number: | 1861567349 |
| NPI Enumeration Date: | 21 Nov, 2006 |
| NPI Last Update On: | 06 Aug, 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 Dr. Kang Yul Lee are as mentioned below.
| License Number | Specialization | State | Status | |
| 45130 | General Practice Dentistry | California | Primary | |
| 4897T | General Practice Dentistry | Nevada | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kang Yul Lee such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| G91956 | Medicaid | California | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2180 Lake Tahoe Blvd, Ste #5
South Lake Tahoe, California |
| Zip: | 96150 |
| Phone Number: | 530-541-8229 |
| Fax Number: | 530-541-8964 |
Patients can reach Dr. Kang Yul Lee at
2180 Lake Tahoe Blvd., Ste #5, South Lake Tahoe, California or can
call to book an appointment on 530-541-8229.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.