S.H. Lee Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

57427 Issued in CA

Legal business name

S.H. LEE DENTAL CORP

Doing business as

Eco Dental

Practice address

2210 W Commonwealth Ave
Fullerton, CA 92833-3021

Phone

(714) 879-0142

NPI assigned

May 11, 2017

Last updated

May 11, 2017By 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

Sung H Lee, DDS

Title

Owner

Phone

(714) 879-0142

Specialties & licenses 1

Addresses

Other names 1

• Eco Dental Doing business as

Locations

Practitioners 1

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.

• Sung Hoon Lee, D.D.S.

  • General Practice Dentistry
  • Fullerton, CA
  • NPI 1326299066
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1942737705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 W COMMONWEALTH AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928333021",
            "telephone_number": "714-879-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 W COMMONWEALTH AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928333021",
            "telephone_number": "714-879-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.H. LEE DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-879-0142",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eco Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Victor K Ryoo, D.D.S.
• Cathy Ryu, PT, DPT
• Serra Eugenie Park Ryu, D.P.M.
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• Rachelle Erin Saavedra
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• Esfandiar Jason Sabet-Peyman, M.D.
• Anthony Trinidad Sabino

• Dentist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.