Seon Yeong Lee, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN2000178 Issued in DC

Practice address

1531 Maryland Ave NE
Washington, DC 20002-7604

Phone

(202) 602-1672

NPI assigned

Apr 25, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ga Prime Dental, L.L.C.

  • Dentist
  • Fort Oglethorpe, GA
  • NPI 1285084715
  NPD (past)
• Prime Dental LLC

  • Dentist
  • Fort Oglethorpe, GA
  • NPI 1497109540
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1003550088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11433 LOG RIDGE DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308528",
            "telephone_number": "205-276-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 MARYLAND AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200027604",
            "telephone_number": "202-602-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SEON",
        "middle_name": "YEONG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418160",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "17740",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN2000178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Lee, MD
• Rebecca Morgan Lee, PSYD
• Richard Lee
• Samuel Lee, DDS
• Sandra Lee
• Seungeun Lee
• Shakila T Lee
• Sharon Denise Lee, MHS, QMHP A&C, CACLL
• Shirley Lee
• Sophia Sherry Lee, MD

• General Practice Dentistry in Washington, DC
• Providers in Washington, DC by specialty
• General Practice Dentistry in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.