Jong S Lee

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

14416 Jefferson Davis Hwy
Suite 16
Woodbridge, VA 22191-2801

Phone

(703) 492-1999

Fax

(703) 492-6379

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Smile Dental Center PLLC

  • General Practice Dentistry
  • Woodbridge, VA
  • NPI 1972241081
  NPD (past)
• Yogi Dental PLLC

  • Dentist
  • Woodbridge, VA
  • NPI 1366787608
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124172879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14416 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 16",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912801",
            "telephone_number": "703-492-1999",
            "fax_number": "703-492-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14416 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 16",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912801",
            "telephone_number": "703-492-1999",
            "fax_number": "703-492-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JONG",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Le, M.A., CCC-SLP
• Leader Six, Inc
• Learn Behavior Consultation Services
• Eunkyung Lee
• Hyun Jung Lee, PHARM.D.
• Kate Jihee Lee, PA-C
• Kyungjin Lee
• Maria Theresa Lee, FNP-BC
• Sheila Monique Lee, PSY.D.
• Muriel Danita Leenders, LMT, CLT

• General Practice Dentistry in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.