P Praxis·MD
● Active Type 1 · Individual

Bryan D Lee, DDS, MD

Oral & Maxillofacial Surgery·Rexburg, ID· NPI 1790905495 · Enumerated 2007 · 19 years on NPI
Lee is 1 of 1 oral & maxillofacial surgery providers in Rexburg and 1 of 7 in Idaho.
NPI age
19 years
Enumerated 2007-04-26
Primary specialty
Oral & Maxillofacial Surgery
Plus 2 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-05-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 7 active oral & maxillofacial surgery providers in Idaho.

NPI age
19 years
↑ 8 yr above median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
2
In the 71% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
360 E. Main St.
Rexburg, ID 83440
📞 2083565959fax 2083565559
Mailing address
360 E. Main St.
Rexburg, ID 83440
📞 2083565959fax 2083565559

Specialties

  • Oral & Maxillofacial Surgery Primary
    Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained...
    ID license #M-11482 taxonomy 204E00000X
  • Dentist
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    ID license #D-3542 taxonomy 1223G0001X
  • Dentist
    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
    ID license #D-3542-OS taxonomy 1223S0112X

Identifiers

TypeValueNotes
05 (ID) 806068200

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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