Active NPIIndividual providerSole proprietor

Banghun Lee, DDS

Dentist in Palisades Park, New Jersey

NPI Number1043371461
Practice location
11 E Harwood Ter, Palisades Park, NJ 07650-3184
Fax
201-944-0212
Last updated
October 4, 2022

Banghun Lee is a Dentist based in Palisades Park, NJ. Banghun Lee practices in Palisades Park, NJ and has the professional credentials of DDS. The NPI Number for Banghun Lee is 1043371461 and holds a License No. 054204 (NY). The current practice location address for Banghun Lee is 11 E Harwood Ter, Palisades Park, NJ 07650-3184 and can be reached out via phone at 201-944-0550 and via fax at 201-944-0212.

Provider Profile Details

NPI Number
1043371461
Provider Name
Banghun Lee
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
11 E Harwood Ter, Palisades Park, NJ 07650-3184
Phone Number
201-944-0550
Fax Number
201-944-0212
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
December 12, 2006
Last Update Date
October 4, 2022
Certification Date
October 4, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 E Harwood Ter
Palisades Park, NJ 07650-3184
Zip
07650-3184
Phone Number
201-944-0550
Fax Number
201-944-0212
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
11 E Harwood Ter
Palisades Park, NJ 07650-3184
City
Palisades Park
State
NJ
Zip
07650-3184
Phone Number
917-669-0693
Fax Number
201-944-0212

License Information

License Number (1)
054204
License State (1)
NY
Taxonomy (1)
Dentist · 122300000X
License Number (2)
22DI02258600
License State (2)
NJ
Taxonomy (2)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Banghun Lee, DDS?

The NPI number of Banghun Lee, DDS is 1043371461. It was assigned on December 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Banghun Lee, DDS?

Banghun Lee, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 054204.

Where does Banghun Lee, DDS practice?

The practice location is 11 E Harwood Ter, Palisades Park, NJ 07650-3184. The office can be reached at 201-944-0550 (phone) or 201-944-0212 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043371461 directly on the NPPES registry website.

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