Your Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

YOUR DENTAL

Practice address

9220 Bass Lake Rd Ste 345
New Hope, MN 55428-3095

Phone

(763) 248-0680

NPI assigned

Jun 13, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Yun Je Lee, DMDNPI 1093445108

Title

President

Phone

(763) 248-0680

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yun Je Lee, DMD

  • General Practice Dentistry
  • New Hope, MN
  • NPI 1093445108
  NPD Authorized official

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1184354151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 NIAGARA LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554464540",
            "telephone_number": "763-248-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 BASS LAKE RD STE 345",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283095",
            "telephone_number": "763-248-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YUN",
        "authorized_official_middle_name": "JE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-248-0680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Sachiko Wilson, LICSW
• Lucy Marie Wilson, MA OTR/L
• Kathleen Marie Wise, M.A., L.P.
• Jafar Yakubu, NP
• Paige Friedman Young
• Mary Esther Cooper Yu, LICSW
• Teresa Bina Zaffiro, LICSW
• Samantha Zilverberg, LPCC

• General Practice Dentistry in New Hope, MN
• Providers in New Hope, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.