Wonjoo Lee Dental Corp.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WONJOO LEE DENTAL CORP.

Practice address

632 San Pablo Ave
Albany, CA 94706-1129

Phone

(510) 395-2119

NPI assigned

Sep 21, 2021

Organization subpart

No

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

Authorized official

Name

Wonjoo LeeNPI 1194887364

Title

President

Phone

(510) 395-2119

Specialties & licenses 1

Addresses

Other names 1

• Insight Dental Doing business as

Locations

Practitioners 1

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

• Wonjoo Lee, D.D.S.

  • General Practice Dentistry
  • Oakland, CA
  • NPI 1194887364
  NPD Authorized official

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1205507258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 GRAND AVE STE 100",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 SAN PABLO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061129",
            "telephone_number": "510-395-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONJOO LEE DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WONJOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-395-2119"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insight Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynn Winsten, PH.D.
• Joanna Dorothy Wise
• Kenneth Wolf
• Sita Shijie Sweet Wong, DPT
• William Wah Wong, PHARM, D
• Christina N Woo
• Patrick Wu, MD, PHD
• Shih Shin Wu, LCSW
• Kayoko Yokoyama, PH.D.
• Michael Peter Young, DDS

• Dentist in Albany, CA
• Providers in Albany, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.