Jun Y. Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10460 Issued in MD

Practice address

6201 Greenbelt Rd
Suite U-10
Berwyn Heights, MD 20740-2354

Phone

(301) 220-2828

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

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.

• Jun Y. Lee, D.D.S., P.C.

  • General Practice Dentistry
  • College Park, MD
  • NPI 1104910975

  General Practice

  NPD (past) Authorized official
• Jun Y. Lee, D.D.S., P.C.

  • General Practice Dentistry
  • Gaithersburg, MD
  • NPI 1477614550

  General Practice

  NPD (past) Authorized official

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154344455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 MORGAL ST",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208532162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 GREENBELT RD",
            "address_2": "SUITE U-10",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402354",
            "telephone_number": "301-220-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUN",
        "middle_name": "Y.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Jones
• Christopher Kollias, O.D.
• Mosunmola Sandra Lake, DNP, PMHNP-BC
• Gerard Sherman Lamkin, DDS PA
• Leap Homecare Inc.
• Leeann Rhodes, M.D., P.C.
• Ricardo Longoria, M.D.
• Aaron Michael Lubick, PT
• Angelina Manga, HHA
• Maryland Health and Wellness Solution LLC

• All providers in Berwyn Heights, MD
• General Practice Dentistry in Maryland

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.