Yoon Suk Lee

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009491 Issued in WA

Legal business name

YOON SUK LEE

Doing business as

Ivy Dental Everett PLLC

Practice address

2722 Colby Ave Ste 508
Everett, WA 98201-3533

Phone

(425) 252-9713

Fax

(425) 339-6099

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Yoon Suk Lee, DDS

Title

Owner

Phone

(425) 252-9713

Specialties & licenses 1

Addresses

Other names 1

• Ivy Dental Everett PLLC 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.

• Scott Bradley Chelgren, DDS

  • Dentist
  • Lapush, WA
  • NPI 1174738462
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1386864197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 COLBY AVE STE 508",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013533",
            "telephone_number": "425-252-9713",
            "fax_number": "425-339-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 COLBY AVE STE 508",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013533",
            "telephone_number": "425-252-9713",
            "fax_number": "425-339-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOON SUK LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YOON",
        "authorized_official_middle_name": "SUK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-252-9713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivy Dental Everett PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yogesh Goel and Evan Chiang PLLC
• Yoel Yohannes
• Dawn Yokoe, MD
• Hyein Yoo, LSWAIC
• Lam Yoo, ARNP
• Heajung Yoon
• Jeong Hoon Yoon, MD
• Su Mi Yoon, DMD
• Aine Kelly Yore, MD
• Kristi D York

• General Practice Dentistry in Everett, WA
• Providers in Everett, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.