Jung Yeol Lee DMD Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JUNG YEOL LEE DMD INC

Practice address

10431 Lemon Ave Ste K
Rancho Cucamonga, CA 91737-3766

Phone

(909) 476-8303

NPI assigned

Oct 19, 2022

Last updated

Oct 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jung Lee, DMDNPI 1619476470

Title

Ceo

Phone

(661) 670-9443

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jung Yeol Lee, DMD

  • General Practice Dentistry
  • Rancho Cucamonga, CA
  • NPI 1619476470
  NPD Authorized official
• Tuan D Nguyen, DDS

  • General Practice Dentistry
  • Alta Loma, CA
  • NPI 1477683621
  NPD (past)
• Trinh Pham, DDS

  • General Practice Dentistry
  • Alta Loma, CA
  • NPI 1548390701
  NPD (past)

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1184341216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10431 LEMON AVE STE K",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917373766",
            "telephone_number": "909-476-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10431 LEMON AVE STE K",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917373766",
            "telephone_number": "909-476-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG YEOL LEE DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-670-9443",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Juarez
• Julia Brown DDS Inc. (Sweet Tooth Orthodontics and Children's Dentistry)
• Julie Alvarez Licensed Clinical Social Worker
• Karen Julyan
• Richard N/a Jumba, NP
• Hee Seung Jung
• Jungwoo Seo DDS, Inc
• Ereyna Jurado
• Johnathon Justice
• Justin a. Fu, MD a Medical Corporation

• Dental Clinic/Center in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.