Organization Active NPI

Lee Gu Im DDS PC

Doing business as Sunrise Dental of Olympia

  • General Practice Dentistry
  • Olympia, WA
National Provider Identifier
1205792215
Registry record updated Jan 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LEE GU IM DDS PC
Doing business as
Sunrise Dental of Olympia
Practice address
3250 14TH Ave NW Ste a
Olympia, WA 98502-8546
Phone
(360) 866-7669
Fax
(360) 866-9115
NPI assigned
Jan 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2026

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

Authorized official

Name
Aja Hantel
Title
Office Manager
Phone
(360) 866-7669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3250 14TH Ave NW Ste a
Olympia, WA 98502-8546

Mailing address

3250 14TH Ave NW Ste a
Olympia, WA 98502-8546
Phone (360) 866-7669

Other names 1

  • Sunrise Dental of Olympia Doing business as

National Provider Directory

National Provider Directory

Locations

3250 14th Ave NW
Ste A
Olympia, WA 98502
Phone (360) 866-7669

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1767398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767398400000",
    "number": "1205792215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 14TH AVE NW STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028546",
            "telephone_number": "360-866-7669",
            "fax_number": "360-866-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 14TH AVE NW STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028546",
            "telephone_number": "360-866-7669",
            "fax_number": "360-866-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE GU IM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-03",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A",
        "authorized_official_last_name": "HANTEL",
        "authorized_official_first_name": "AJA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-866-7669"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Dental of Olympia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2026; 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.