MEDICARE: DAYENA LEE, DDS AND KANDICE LEE, DDS 2, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1689536344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAYENA LEE, DDS AND KANDICE LEE, DDS 2, PLLC

Provider Business Mailing Address
First Line	:	2148 S NC HIGHWAY 54
Second Line	:
City	:	GRAHAM
State	:	NC
Zip	:	27253-9023
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2148 S NC HIGHWAY 54
Second Line	:
City	:	GRAHAM
State	:	NC
Zip	:	27253-9023
Country	:	US
Telephone Number	:	339-578-3896
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER/DENTIST
Name	:	DR. KANDICE LEE
Credential	:	DDS
Telephone Number	:	336-578-3896

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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