Individual provider Active NPI

Sang Lee, DDS

  • Dentist
  • Silver Spring, MD
National Provider Identifier
1508380254
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16642 Issued in MD
Practice address
8121 Georgia Ave Ste 400
Silver Spring, MD 20910-4958
Phone
(301) 588-2516
NPI assigned
Aug 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16642 MD Primary

Addresses

Primary practice location

8121 Georgia Ave Ste 400
Silver Spring, MD 20910-4958

Mailing address

100 1St St Apt 214
Rockville, MD 20851-1347
Phone (703) 388-6324

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sang Woo Lee DDS LLC CurrentSince Jul 28, 2024 Accepting new patients
Servicios Dentales Hispanos, Inc. Dentist Past Accepting new patients

Locations

2241 Bel Pre Rd
Silver Spring, MD 20906
Phone (240) 433-5454

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1508380254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 1ST ST APT 214",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511347",
            "telephone_number": "703-388-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 GEORGIA AVE STE 400",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104958",
            "telephone_number": "301-588-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SANG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.