Joon S. Lee DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050790 Issued in NY

Legal business name

JOON S. LEE DDS PC

Doing business as

Family Dental Practice

Practice address

503 S Broadway Ste 250
Yonkers, NY 10705-6202

Phone

(914) 376-4033

Fax

(914) 376-4035

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joon S. Lee, DDS

Title

President

Phone

(914) 376-4033

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Dental Practice Doing business as

Locations

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1578715629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 S BROADWAY STE 250",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107056202",
            "telephone_number": "914-376-4033",
            "fax_number": "914-376-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S BROADWAY STE 250",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107056202",
            "telephone_number": "914-376-4033",
            "fax_number": "914-376-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOON S. LEE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOON",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-376-4033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003006529",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Jones
• Makeda Naomi Jones, M.D
• Oksana Stanislavivna Jones, CCC-SLP
• Skyler Jones, LMSW
• Irene Jong, MD
• Sally C Jordan, M.D.
• Carmen Mariela Jorge Rodriguez, LMSW
• Yahainese Jorle
• Jose L. Lantin, MD, PC
• Josselyn Jose

• General Practice Dentistry in Yonkers, NY
• Providers in Yonkers, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.