Allison Yukyung Lee, DDS

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

37604 Issued in TX

Practice address

Hospital Dentistry
151 Westchester Hall
Stony Brook, NY 11704-8711

Phone

(631) 444-2557

Fax

(631) 444-6013

NPI assigned

May 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Yu Kyung Lee Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1215428677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N FIELD ST APT 3002",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752020001",
            "telephone_number": "815-275-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL DENTISTRY",
            "address_2": "151 WESTCHESTER HALL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117048711",
            "telephone_number": "631-444-2557",
            "fax_number": "631-444-6013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 N Field St Apt 3002",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75202",
            "country_code": "US",
            "telephone_number": "815-275-9455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALLISON",
        "middle_name": "YUKYUNG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2022-03-07",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37604",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "TX",
            "license": "37604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YU",
            "last_name": "LEE",
            "middle_name": "KYUNG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John E Leavens, M.D.
• Sage Nicole Leax
• Joseph Zachary Lebowitz, MD
• Spencer Lee-Rey
• Ada Lee, D.O.
• Casey Lee, PA
• Christina Yee-Wah Lee, M.D.
• Cindy Lee, M.D.
• Daehee Lee, MD
• Donghee Lee

• Dental Anesthesiology in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Dental Anesthesiology in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.