Active NPI
Jacob Hyunwoo Lee, DMD
- General Practice Dentistry
- Seattle, WA
National Provider Identifier
1053298208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 70023720
- Practice address
- 4722 Fauntleroy Way SW Ste a
Seattle, WA 98116-4667 - Phone
- (206) 752-8761
- NPI assigned
- Aug 19, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 70023720 | WA | Primary |
Addresses
Primary practice location
4722 Fauntleroy Way SW Ste a
Seattle, WA 98116-4667
Mailing address
10725 Marlborough Rd
Fairfax, VA 22032-2223
Phone (571) 730-7961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70023720 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1053298208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10725 MARLBOROUGH RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220322223",
"telephone_number": "571-730-7961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4722 FAUNTLEROY WAY SW STE A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981164667",
"telephone_number": "206-752-8761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JACOB",
"middle_name": "HYUNWOO",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-19",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "70023720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.