Sookyon Lim Lee, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30.025449 Issued in OH

Practice address

401 Carpenter Rd BLDG 525
Fort Myer, VA 22211-1009

Phone

(703) 678-3003

NPI assigned

Jul 26, 2018

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

Other names 1

• Ms. Sook Yon Lim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1770060279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ANDREW RADER DENTAL CLINIC",
            "address_2": "401 CARPENTER RD.",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22204",
            "telephone_number": "703-678-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CARPENTER RD BLDG 525",
            "city": "FORT MYER",
            "state": "VA",
            "postal_code": "222111009",
            "telephone_number": "703-678-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SOOKYON",
        "middle_name": "LIM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOOK YON",
            "last_name": "LIM",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimbrough Acc Military MTF
• Katherine A Kingsford, RN
• Greta Lynn Krapohl, RN
• Suk Hee Kymn, MD
• Alyson N Lasater, DDS
• Thomas Moore Lehmann, PHARM.D.
• Jian Hong Lei, DMD
• Maria Liza Lindenberg, MD
• Whitney Lopez, PSY.D
• Joel Margolis

• Dentist in Fort Myer, VA
• Providers in Fort Myer, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.