Kwansoo Lee, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60293904 Issued in WA

Legal business name

KWANSOO LEE, DDS, PLLC

Doing business as

Spanaway Family Dentistry

Practice address

20709 Mountain Highway E
Suite 101
Spanaway, WA 98387-8580

Phone

(253) 777-0550

Fax

(253) 617-0208

NPI assigned

Mar 24, 2014

Last updated

Mar 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kwansoo Lee, D.D.S.

Title

Dentist/Owner

Phone

(253) 777-0550

Specialties & licenses 1

Addresses

Other names 1

• Spanaway Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1700203114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20709 MOUNTAIN HIGHWAY E",
            "address_2": "SUITE 101",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878580",
            "telephone_number": "253-777-0550",
            "fax_number": "253-617-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20709 MOUNTAIN HIGHWAY E",
            "address_2": "SUITE 101",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878580",
            "telephone_number": "253-777-0550",
            "fax_number": "253-617-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWANSOO LEE, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KWANSOO",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "253-777-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60293904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spanaway Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole J Klein, PHD, RN
• Andrew Klimek, SLP
• Danielle Kline
• Simone Alexandria Koger, LMFT
• Jake Kopitzke, SSP
• Dennis Kim Kwon, DDS
• Kelsie Ann Landers, MS, OTR/L
• Landon King DDS Justin Vanbibber DMD PLLC (SmallFoot Kids Dental)
• Kwansoo Lee, D.D.S.
• Peter John Lefeau, M.S.W.

• General Practice Dentistry in Spanaway, WA
• Providers in Spanaway, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.