Joon Hee Lee DMD Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

63904 Issued in CA

Legal business name

JOON HEE LEE DMD DENTAL CORPORATION

Practice address

790 E Willow St Ste 250
Long Beach, CA 90806-2720

Phone

(562) 349-0666

Fax

(562) 349-0667

NPI assigned

Sep 8, 2017

Last updated

Aug 15, 2022By 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. Joon Hee Lee, DMDNPI 1710388715

Title

President

Phone

(617) 800-7741

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joon Hee Lee, D.M.D.

  • Dentist
  • Long Beach, CA
  • NPI 1710388715
  NPD Authorized official
• Seung Yeop Lee

  • Dentist
  • Compton, CA
  • NPI 1174021158
  NPD (past)
• Li Hong Huang Salvani, DDS

  • General Practice Dentistry
  • Garden Grove, CA
  • NPI 1003303140
  NPD (past)
• Kyeung Mok Kim, D.D.S.

  • General Practice Dentistry
  • Desoto, TX
  • NPI 1770358830
  NPD (past)

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1770001851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 E WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 E WILLOW ST STE 250",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062720",
            "telephone_number": "562-349-0666",
            "fax_number": "562-349-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOON HEE LEE DMD DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOON HEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-800-7741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "63904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710388715",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracye Jones
• Treasure Jones
• Tyeshia Jones, NP-C, RNFA
• Rositsa Stefkova Jonic
• Sun M Joo
• Deborah Denise Jordan
• Eddie Jerome Jordan
• Milah Jordan, LCSW
• Shana Jordan, M.D.
• Tiffanie Jordan

• Dental Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.