Hyeok Je Lee, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13877 Issued in MN

Practice address

6240 Quinwood LN N # 100
Maple Grove, MN 55369-6384

Phone

(763) 391-6486

Fax

(763) 710-7485

NPI assigned

Jun 19, 2017

Last updated

Aug 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Miso Dentistry, PC

  • Dentist
  • Maple Grove, MN
  • NPI 1629538988
  NPD Authorized official

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1346770500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 QUINWOOD LN N # 100",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696384",
            "telephone_number": "763-391-6486",
            "fax_number": "763-710-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 QUINWOOD LN N # 100",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696384",
            "telephone_number": "763-391-6486",
            "fax_number": "763-710-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HYEOK",
        "middle_name": "JE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Leatherman
• Lee Medical Inc (LMI Home Medical Equipment)
• Alyson Renee Lee, CRRN PHN
• Amy Lee
• Ho Young Lee, D.D.S.
• Paivi Sinikka Lee, MA
• Tae Je Lee, DMD
• Drake Ian Lefevre, DC
• John Leighton, MD
• Gay Wynne Lentfer, PA

• General Practice Dentistry in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.