Active NPIIndividual provider

Dr. Eun-Jung Lee, DDS

Dentist, General Practice in Palisades Park, New Jersey

NPI Number1043376106
Practice location
306 Broad Ave, #2c, Palisades Park, NJ 07650-1621
Fax
201-461-6882
Last updated
July 8, 2007

Eun-Jung Lee is a Dentist, General Practice based in Palisades Park, NJ. Eun-Jung Lee practices in Palisades Park, NJ and has the professional credentials of DDS. The NPI Number for Eun-Jung Lee is 1043376106 and holds a License No. 22DI02153901 (NJ). The current practice location address for Eun-Jung Lee is 306 Broad Ave, #2c, Palisades Park, NJ 07650-1621 and can be reached out via phone at 201-461-5171 and via fax at 201-461-6882.

Provider Profile Details

NPI Number
1043376106
Provider Name
Eun-Jung Lee
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
306 Broad Ave, #2c, Palisades Park, NJ 07650-1621
Phone Number
201-461-5171
Fax Number
201-461-6882
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
December 30, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
306 Broad Ave
#2c
Palisades Park, NJ 07650-1621
Zip
07650-1621
Phone Number
201-461-5171
Fax Number
201-461-6882
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
306 Broad Ave
#2c
Palisades Park, NJ 07650-1621
City
Palisades Park
State
NJ
Zip
07650-1621
Fax Number
201-461-6882

License Information

License Number
22DI02153901
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Dr. Eun-Jung Lee, DDS?

The NPI number of Dr. Eun-Jung Lee, DDS is 1043376106. It was assigned on December 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Eun-Jung Lee, DDS?

Dr. Eun-Jung Lee, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02153901.

Where does Dr. Eun-Jung Lee, DDS practice?

The practice location is 306 Broad Ave, #2c, Palisades Park, NJ 07650-1621. The office can be reached at 201-461-5171 (phone) or 201-461-6882 (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 1043376106 directly on the NPPES registry website.

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