LK Advanced Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

054569 Issued in NY

Legal business name

LK ADVANCED DENTISTRY

Practice address

330 W 58TH St
Suite 309
New York, NY 10019-1827

Phone

(212) 600-5221

Fax

(917) 210-3909

NPI assigned

Oct 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Dongjin Lee, D.M.D.NPI 1043544919

Title

Member

Phone

(212) 600-5221

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dongjin Lee, DMD

  • Dentist
  • New York, NY
  • NPI 1043544919
  NPD (past) Authorized official
• Min Jung Kim, DMD

  • General Practice Dentistry
  • New York, NY
  • NPI 1164743258
  NPD (past)

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1689926818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST",
            "address_2": "SUITE 309",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191827",
            "telephone_number": "212-600-5221",
            "fax_number": "917-210-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST",
            "address_2": "SUITE 309",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191827",
            "telephone_number": "212-600-5221",
            "fax_number": "917-210-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LK ADVANCED DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DONGJIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "212-600-5221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054569",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eli F Lizza, MD
• Fernando Lizzi, LCSW
• LJ Professional Dental PC
• Aleksandar Ljubicic, LCSW-R
• Alyssa Ljungquist, AGNP
• LL Medical Clinic PA
• Ursula Llamas, LMSW
• Llandro Escarro Llander, P.T.
• Richard Llanos
• Ruth Llanos, PMHNP

• General Practice Dentistry in New York, NY
• Providers in New York, 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 Mar 12, 2013; 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.