Active NPIIndividual providerSole proprietor

Dr. Joohyun Lee, DDS

Dentist in Cresskill, New Jersey

NPI Number1376982108
Practice location
210 Knickerbocker RD, Cresskill, NJ 07626-1801
Fax
—
Last updated
September 2, 2020

Joohyun Lee is a Dentist based in Cresskill, NJ. Joohyun Lee practices in Cresskill, NJ and has the professional credentials of DDS. The NPI Number for Joohyun Lee is 1376982108 and holds a License No. 057839 (NY). The current practice location address for Joohyun Lee is 210 Knickerbocker RD, Cresskill, NJ 07626-1801 and can be reached out via phone at 201-567-3990.

Provider Profile Details

NPI Number
1376982108
Provider Name
Joohyun Lee
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
210 Knickerbocker RD, Cresskill, NJ 07626-1801
Phone Number
201-567-3990
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
June 14, 2013
Last Update Date
September 2, 2020
Certification Date
September 2, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
210 Knickerbocker RD
Cresskill, NJ 07626-1801
Zip
07626-1801
Phone Number
201-567-3990
Cresskill, NJ 07626Get directions →

Provider Business Mailing Address Details

Address
414 Hackensack Ave Apt 2405
Hackensack, NJ 07601-6339
City
Hackensack
State
NJ
Zip
07601-6339
Phone Number
631-807-2722

License Information

License Number (1)
057839
License State (1)
NY
Taxonomy (1)
Dentist · 122300000X
License Number (2)
22di02644200
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 Dr. Joohyun Lee, DDS?

The NPI number of Dr. Joohyun Lee, DDS is 1376982108. It was assigned on June 14, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Joohyun Lee, DDS?

Dr. Joohyun Lee, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 057839.

Where does Dr. Joohyun Lee, DDS practice?

The practice location is 210 Knickerbocker RD, Cresskill, NJ 07626-1801. The office can be reached at 201-567-3990 (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 1376982108 directly on the NPPES registry website.

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