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Jenna Yeonkyung Lee, DMD
Pediatric Dentist in Kinnelon, New Jersey
NPI 1295356525

Jenna Yeonkyung Lee is a Pediatric Dentist based in Kinnelon, NJ and is specialized in Pediatric Dentistry. Jenna Yeonkyung Lee practices in Kinnelon, NJ and has the professional credentials of DMD. The NPI Number for Jenna Yeonkyung Lee is 1295356525 and holds a License No. DN1859409 (New Jersey).

The current practice location address for Jenna Yeonkyung Lee is 11 Kiel Ave, Kinnelon, NJ and can be reached out via phone at 973-838-7888.

Location: 11 Kiel Ave, Kinnelon, NJ, 07405-2549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295356525
Provider Name
Jenna Yeonkyung Lee
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
11 Kiel Ave, Kinnelon, NJ, 07405-2549
Phone Number
973-838-7888
Fax Number
Provider Enumeration Date
04/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11 Kiel Ave
City
Kinnelon
State
New Jersey
Zip
07405-2549
Phone Number
973-838-7888
Fax Number
person
Provider Business Mailing Address Details
Address
11 Kiel Ave
City
Kinnelon
State
New Jersey
Zip
07405-2549
Phone Number
973-838-7888
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DN1859409 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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