Dental Group of Sung Y Lee DMD Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL GROUP OF SUNG Y LEE DMD INC

Doing business as

e-Dental Group

Practice address

3174 E Gage Ave
Huntington Park, CA 90255-5346

Phone

(323) 581-3011

Fax

(323) 581-3011

NPI assigned

May 12, 2023

Organization subpart

No

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

Authorized official

Name

Sung Lee, DMD

Title

Ceo

Phone

(310) 787-1233

Specialties & licenses 1

Addresses

Other names 1

• e-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.

• Sung Young Lee, DMD

  • Dentist
  • Torrance, CA
  • NPI 1972643856
  NPD

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1326738287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3174 E GAGE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555346",
            "telephone_number": "323-581-3011",
            "fax_number": "323-581-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3174 E GAGE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555346",
            "telephone_number": "323-581-3011",
            "fax_number": "323-581-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GROUP OF SUNG Y LEE DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-787-1233",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "e-Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "e-Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.