Dr Woo Jung Lee DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50484 Issued in CA

Legal business name

DR WOO JUNG LEE DDS INC

Doing business as

Great Smile Dental Group

Practice address

311 Oak Ridge Dr Ste 4
Roseville, CA 95661-3427

Phone

(916) 784-6510

Fax

(916) 784-9017

NPI assigned

Oct 26, 2007

Last updated

Oct 26, 2007By 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

Dr. Woo Jung Lee, DDS

Title

Ceo

Phone

(916) 784-6510

Specialties & licenses 1

Addresses

Other names 1

• Great Smile Dental Group 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, and the practitioner matching its NPPES authorized official.

• Christian Woojung Lee, DDS

  • General Practice Dentistry
  • Roseville, CA
  • NPI 1720174527
  NPD (past)

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1255510160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 OAK RIDGE DR STE 4",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613427",
            "telephone_number": "916-784-6510",
            "fax_number": "916-784-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 OAK RIDGE DR STE 4",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613427",
            "telephone_number": "916-784-6510",
            "fax_number": "916-784-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WOO JUNG LEE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WOO JUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-784-6510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Smile Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Preston Doyle
• William Anthony Doyle, P.T.
• Timothy Neil Dozier, D.C.
• Dr Andrek Rosped Ingersoll Dental Corporation (Bear Hollow Kids Dentistry - Roseville)
• Dr Said Shaari
• Dr. Cohn's Corrective Collective
• Dr. Regina Granados, Incorporated (Clinical Research Council: Neurohealth, Bio-Tech, Psycho-Legal)
• Dr. Shaaris Dental Office
• Jelena Dragoljevic, PA
• Caitlin Michelle Dragony

• General Practice Dentistry in Roseville, CA
• Providers in Roseville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.