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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Bryan D Lee, DDS, MD

Oral & Maxillofacial Surgery (D.M.D.) in Rexburg, ID · enumerated 2007 · practices at Upper Valley Orthopedics, Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790905495

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Registry record

Entity type Individual (Type 1)
Name Bryan D Lee
Credential DDS, MD
Sex Male
Practice address Rexburg, ID, 83440
Fax (208) 356-5559
Enumeration date Apr 26, 2007
Last updated in NPPES May 29, 2015

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License D-3542 (ID) Secondary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License D-3542-OS (ID) Secondary
204E00000X Oral & Maxillofacial Surgery (D.M.D.) Allopathic & Osteopathic Physicians · License M-11482 (ID) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier Type State Issuer
806068200 Medicaid ID -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Bryan Lee practice?
The practice location on file with NPPES is in Rexburg, ID. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Bryan Lee?
The National Provider Identifier (NPI) for Bryan Lee is 1790905495, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-29.