Su Jung Lee, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

32404 Issued in TX

Practice address

6401 New York Ave Unit 155
Arlington, TX 76018-3175

Phone

(618) 514-2575

NPI assigned

Apr 14, 2015

Last updated

Dec 6, 2016By 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

Other names 1

• Sujung Lee 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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1881080083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 NEW YORK AVE UNIT 155",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760183175",
            "telephone_number": "929-314-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 NEW YORK AVE UNIT 155",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760183175",
            "telephone_number": "618-514-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SU",
        "middle_name": "JUNG",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUJUNG",
            "last_name": "LEE",
            "credential": "D.D.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Moonhee Lee, M.D.
• Sinae Lee
• So-Young Lee
• Soo Lee, APRN
• Stormie Lee Lee, PT
• Thomas L Lee, MD
• Wai Long Lee
• Wesley Lee, MD
• Ya Ling Erin Lee, R.PH
• Youngsun Lee, APRN

• Dentist in Arlington, TX
• Providers in Arlington, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.