Jung Ho Lee, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60172617 Issued in WA

Legal business name

JUNG HO LEE, DDS, PLLC

Doing business as

Capital Family Dentistry

Practice address

2962 Limited LN NW Ste B
Olympia, WA 98502-4550

Phone

(360) 754-9300

Fax

(360) 754-0220

NPI assigned

May 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jung Ho Lee, D.D.S.NPI 1982918223

Title

Owner Dentist

Phone

(360) 754-9300

Specialties & licenses 1

Addresses

Other names 1

• Capital Family Dentistry 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.

• Jung Ho Lee, D.D.S.

  • General Practice Dentistry
  • Olympia, WA
  • NPI 1982918223
  NPD Authorized official

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1427404268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HARRISON AVE NW",
            "address_2": "102",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025332",
            "telephone_number": "360-754-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2962 LIMITED LN NW STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024550",
            "telephone_number": "360-754-9300",
            "fax_number": "360-754-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG HO LEE, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JUNG HO",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "360-754-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60172617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Fox, LLC
• Katelyn Julian
• Julie a Dybbro Arnp LLC (Complete Women's Health Care)
• James Gregg Julin, M.D.
• Heesoon Jun, PH.D.
• Matthew Enkyum Jung, M.D.
• Heather K Jurow, ARNP
• Justin Moody, DDS, P.C. (Affordable Dentures & Implants - Olympia)
• Amalia Kadden
• Rachel Kadoshima

• General Practice Dentistry in Olympia, WA
• Providers in Olympia, 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 Mar 20, 2024; 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.