Joohan Lee, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

13539 Issued in CT

Practice address

483 Middle Tpke W Ste 309
Manchester, CT 06040-3865

Phone

(860) 645-0111

NPI assigned

Aug 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Columbia Implant Center LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Manchester, CT
  • NPI 1093502312
  NPD

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1093442394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 COMMERCE DR APT 521",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068255573",
            "telephone_number": "646-799-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 MIDDLE TPKE W STE 309",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060403865",
            "telephone_number": "860-645-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOOHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "13539",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "13539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Leach, MD
• Chastity Leak
• Alicia Renai Lee
• Allana R Lee, D.O.
• Brandon J Lee
• Kimberly A. Lefevre, O.D.
• Matthew Lemaster, APRN
• Nathan Lemay, D.O.
• Evan Lemma
• Lenox Pharma LLC

• Dentist in Manchester, CT
• Providers in Manchester, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.