Active NPI
Judyth Grace Lee, DMD
- Pediatric Dentistry
- Walnut Creek, CA
National Provider Identifier
1699189431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DDS103376
- Practice address
- 520 Lennon LN Ste a
Walnut Creek, CA 94598-2415 - Phone
- (925) 930-9390
- NPI assigned
- Jun 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 22DI02638100 | NJ | |
| Pediatric Dentistry | 1223P0221X | 058674 | NY | |
| Pediatric Dentistry | 1223P0221X | DDS103376 | CA | Primary |
Addresses
Primary practice location
520 Lennon LN Ste a
Walnut Creek, CA 94598-2415
Mailing address
451 Kansas St Unit 558
San Francisco, CA 94107-2218
Phone (706) 988-2187
Other practice location 1
430 N El Camino Real
San Mateo, CA 94401
Phone (650) 727-3480
Other practice location 2
1098 Foster City Blvd Ste 205
Foster City, CA 94404-2345
Phone (650) 581-3887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS103376 | CA | MD | Pediatric Dentist |
| 22DI02638100 | NJ | MD | Pediatric Dentist |
| 058674 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yun & Lee Dental Group | Current | Accepting new patients |
Locations
1098 Foster City Blvd
Ste 205
Foster City, CA 94404
Phone (650) 581-3887
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Foster City, CA
- NPI 1003703299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1699189431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 KANSAS ST UNIT 558",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941072218",
"telephone_number": "706-988-2187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 LENNON LN STE A",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982415",
"telephone_number": "925-930-9390"
}
],
"practiceLocations": [
{
"address_1": "430 N El Camino Real",
"address_purpose": "LOCATION",
"city": "San Mateo",
"state": "CA",
"postal_code": "94401",
"country_code": "US",
"telephone_number": "650-727-3480",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1098 Foster City Blvd Ste 205",
"address_purpose": "LOCATION",
"city": "Foster City",
"state": "CA",
"postal_code": "944042345",
"country_code": "US",
"telephone_number": "650-581-3887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JUDYTH",
"middle_name": "GRACE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-19",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI02638100",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "058674",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "DDS103376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.