NPIMap

Organization Active NPI

Soo Yun S Lee DMD Lla

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Odenton, MD
National Provider Identifier
1679958458
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
13674 Issued in MD
Legal business name
SOO YUN S LEE DMD LLA
Practice address
8761 Piney Orchard Pkwy
A
Odenton, MD 21113-2203
Phone
(410) 672-7207
Fax
(410) 672-7205
NPI assigned
Jul 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Soo Yun Lee, DMD
Title
Doctor
Phone
(410) 672-7207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 13674 MD Primary

Addresses

Primary practice location

8761 Piney Orchard Pkwy
A
Odenton, MD 21113-2203

Mailing address

8761 Piney Orchard Pkwy
A
Odenton, MD 21113-2203
Phone (410) 672-7207

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1679958458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8761 PINEY ORCHARD PKWY",
            "address_2": "A",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132203",
            "telephone_number": "410-672-7207",
            "fax_number": "410-672-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8761 PINEY ORCHARD PKWY",
            "address_2": "A",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132203",
            "telephone_number": "410-672-7207",
            "fax_number": "410-672-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOO YUN S LEE DMD LLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SOO YUN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "410-672-7207",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "13674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.