Seokhoon Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401418168 Issued in VA

Practice address

502 E Market St
Leesburg, VA 20176-4112

Phone

(571) 899-4713

NPI assigned

Sep 8, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Leesburg Modern Dentistry, PC

  dba Leesburg Modern Dentistry

  • General Practice Dentistry
  • Leesburg, VA
  • NPI 1932837101
  NPD

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670112000000",
    "number": "1689343105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9345 CHESTNUT KNOLLS DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321202",
            "telephone_number": "703-303-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E MARKET ST",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764112",
            "telephone_number": "571-899-4713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86-078 Farrington Hwy Ste 210",
            "address_purpose": "LOCATION",
            "city": "Waianae",
            "state": "HI",
            "postal_code": "967923014",
            "country_code": "US",
            "telephone_number": "808-437-2281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SEOKHOON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2022-12-04",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-2931",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Yim Lee, MD
• Leonardo Eun Lee, D.M.D
• Lucy S Lee, O.D
• Peter Sae Lee, DDS
• Sarah Lee, DDS
• Leesburg Chiropractic and Massage, P.L.L.C.
• Leesburg Community Church
• Leesburg Dental and Orthodontics, PLLC
• Leesburg Dental Center PLLC
• Leesburg Dental Group PLLC

• General Practice Dentistry in Leesburg, VA
• Providers in Leesburg, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.