Soo Jean Lee

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33724 Issued in TX

Practice address

5949 Babcock Rd Ste 102
San Antonio, TX 78240-2514

Phone

(210) 696-8050

NPI assigned

Aug 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Daniela Dental, PLLC

  • Dental Clinic/Center
  • San Antonio, TX
  • NPI 1730605718
  NPD
• Brident Dental Associates PC

  • Dentist
  • San Antonio, TX
  • NPI 1033683131
  NPD (past)
• Dental Health Associates of TX, P.C.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1285291203
  NPD (past)
• South Texas Dental Associates, L.P.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1124246533
  NPD (past)

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1962888321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 PECAN TRAIL ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5949 BABCOCK RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402514",
            "telephone_number": "210-696-8050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618th dental company (AS), USA DENTAC, Korea",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "962055652",
            "country_code": "US",
            "telephone_number": "053-470-4307",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "USA DHA Fort Hood",
            "address_2": "W087AA",
            "address_purpose": "LOCATION",
            "city": "Fort Hood",
            "state": "TX",
            "postal_code": "76544",
            "country_code": "US",
            "telephone_number": "443-834-2067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3655 Fredericksburg Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78201",
            "country_code": "US",
            "telephone_number": "210-733-9990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SOO",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33724",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott D Lee, RPH
• Shannah Lee, M.S., CCC-SLP
• Shannon Lee, MA, LPC ASSOCIATE
• Shirley Lee
• Sonyong A Lee, MSN, APRN, RN, FNP-C
• Sophia Lee
• Sung Un Lee, NP
• Susan Lynn Lee, OTR
• Teresa Lee, LMT/HWC
• Theresia L Lee, M.D.

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.