Active NPI
Yun Lee
- Periodontics
- Portland, ME
National Provider Identifier
1578482782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DEN5376
- Practice address
- 716 Stevens Ave
Portland, ME 04103-2656 - Phone
- (207) 283-0171
- NPI assigned
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DEN5376 | ME | Primary |
Addresses
Primary practice location
716 Stevens Ave
Portland, ME 04103-2656
Mailing address
358 Clarks Pond Pkwy Apt 403
South Portland, ME 04106-7905
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1578482782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 CLARKS POND PKWY APT 403",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041067905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 STEVENS AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032656",
"telephone_number": "207-283-0171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "YUN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-13",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "ME",
"license": "DEN5376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.