Active NPI
Sung Hoon Lee, D.D.S.
- General Practice Dentistry
- Fullerton, CA
National Provider Identifier
1326299066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 57427
- Practice address
- 2210 W Commonwealth Ave
Fullerton, CA 92833-3021 - Phone
- (714) 879-0142
- Fax
- (714) 879-0778
- NPI assigned
- Sep 30, 2008
- Last updated
- Mar 9, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 57427 | CA | Primary |
Addresses
Primary practice location
2210 W Commonwealth Ave
Fullerton, CA 92833-3021
Mailing address
2210 W Commonwealth Ave
Fullerton, CA 92833-3021
Phone (714) 879-0142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57427 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoon Lee Dental Corporation | Current | Accepting new patients | |
| S.H. Lee Dental Corp | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1326299066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 W COMMONWEALTH AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928333021",
"telephone_number": "714-879-0142",
"fax_number": "714-879-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 W COMMONWEALTH AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928333021",
"telephone_number": "714-879-0142",
"fax_number": "714-879-0778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUNG HOON",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-30",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "57427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.