Eunsuk Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

056145 Issued in NY

Practice address

63 Hudson St
South Glens Falls, NY 12803

Phone

(518) 792-2187

NPI assigned

Jun 14, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kletter & Levine PC

  • General Practice Dentistry
  • South Glens Falls, NY
  • NPI 1386727683
  NPD (past)

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1598050957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BEVSWOOD OAKS",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120658746",
            "telephone_number": "518-357-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 HUDSON ST",
            "city": "SOUTH GLENS FALLS",
            "state": "NY",
            "postal_code": "12803",
            "telephone_number": "518-792-2187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Michigan Ave",
            "address_2": "2nd floor",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142032209",
            "country_code": "US",
            "telephone_number": "716-848-2340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "EUNSUK",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Karas, LMSW
• Joseph Edgar Kingsley, R.N.
• Karen Ann Kirsch, OTR/L
• Kletter & Levine PC
• Kristine M Karig
• Lena's Adult Day Services, Inc.
• Karen Elleian Long, R.N.
• Evelyn Jeanne McFarren, RN
• Nichole Mesa Tyree, LMHC
• Allison Leigh Messing Smitkin, DMD

• General Practice Dentistry in South Glens Falls, NY
• Providers in South Glens Falls, 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 May 23, 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.