Active NPIIndividual provider

Dr. Matthew J Lee, DDS

Dentist in Palisades Park, New Jersey

NPI Number1356408470
Practice location
306 Broad Ave Suite 2C, Palisades Park, NJ 07650
Fax
—
Last updated
July 16, 2020

Matthew Jonghyock Lee is a Dentist based in Palisades Park, NJ. Matthew Jonghyock Lee practices in Palisades Park, NJ and has the professional credentials of DDS. The NPI Number for Matthew Jonghyock Lee is 1356408470 and holds a License No. 22di02185900 (NJ). The current practice location address for Matthew Jonghyock Lee is 306 Broad Ave Suite 2C, Palisades Park, NJ 07650 and can be reached out via phone at 201-461-5171.

Provider Profile Details

NPI Number
1356408470
Provider Name
Matthew Jonghyock Lee
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
306 Broad Ave Suite 2C, Palisades Park, NJ 07650
Phone Number
201-461-5171
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
January 2, 2007
Last Update Date
July 16, 2020
Certification Date
July 16, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
306 Broad Ave Suite 2C
Palisades Park, NJ 07650
Zip
07650
Phone Number
201-461-5171
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
306 Broad Ave Suite 2C
Palisades Park, NJ 07650
City
Palisades Park
State
NJ
Zip
07650
Phone Number
201-461-5171

License Information

License Number (1)
22di02185900
License State (1)
NJ
Taxonomy (1)
Dentist · 122300000X · Primary
License Number (2)
049148
License State (2)
NY
Taxonomy (2)
Dentist · 122300000X

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. Matthew J Lee, DDS?

The NPI number of Dr. Matthew J Lee, DDS is 1356408470. It was assigned on January 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Matthew J Lee, DDS?

Dr. Matthew J Lee, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22di02185900.

Where does Dr. Matthew J Lee, DDS practice?

The practice location is 306 Broad Ave Suite 2C, Palisades Park, NJ 07650. The office can be reached at 201-461-5171 (phone).

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 1356408470 directly on the NPPES registry website.

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