Soojin Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11127 Issued in NC

Practice address

205 Waynesville PLZ
Waynesville, NC 28786-5765

Phone

(828) 452-5656

NPI assigned

Jul 5, 2018

Last updated

Sep 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Isaac Quilhot and Soojin Lee, PLLC

  dba Main Street Dental

  • Dentist
  • Canton, NC
  • NPI 1386295426
  Authorized official Same address or phone

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567814400000",
    "number": "1730675505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1592 TUNNEL RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052804",
            "telephone_number": "865-300-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WAYNESVILLE PLZ",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287865765",
            "telephone_number": "828-452-5656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1592 Tunnel Rd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288052804",
            "country_code": "US",
            "telephone_number": "865-300-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SOOJIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2019-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura P Lam, PMHNP-BC
• Jedidiah Winn Lambert, DDS
• Caroline Phan Lanpher
• Diana Laursen, RDN, LDN
• Heather Sangeun Lee, DDS
• Cheyenne Alexandria Lewis
• Constance Marie Lewis, DDS
• LHCG L, LLC (Access Community-Based Services)
• Liberty Corner Enterprises, Inc.
• Liberty Corner Enterprises, Inc.

• General Practice Dentistry in Waynesville, NC
• Providers in Waynesville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2019; 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.