- Practice location
- 1455 Broad St Ste 105, Bloomfield, NJ 07003-3039
- Phone
- 862-702-5234
- Fax
- —
- Last updated
- July 27, 2021
Daniel Deokchun Lee is a Dentist based in Bloomfield, NJ. Daniel Deokchun Lee practices in Bloomfield, NJ. The NPI Number for Daniel Deokchun Lee is 1508539503 and holds a License No. 22DI02852700 (NJ). The current practice location address for Daniel Deokchun Lee is 1455 Broad St Ste 105, Bloomfield, NJ 07003-3039 and can be reached out via phone at 862-702-5234.
Provider Profile Details
- NPI Number
- 1508539503
- Provider Name
- Daniel Deokchun Lee
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1455 Broad St Ste 105, Bloomfield, NJ 07003-3039
- Phone Number
- 862-702-5234
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 27, 2021
- Last Update Date
- July 27, 2021
- Certification Date
- July 27, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1455 Broad St Ste 105
Bloomfield, NJ 07003-3039 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-3039
- Phone Number
- 862-702-5234
Provider Business Mailing Address Details
- Address
- 414 Hackensack Ave Apt 1315
Hackensack, NJ 07601-6579 - City
- Hackensack
- State
- NJ
- Zip
- 07601-6579
- Phone Number
- 929-367-1257
License Information
- License Number
- 22DI02852700
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Bloomfield, NJ
View all Dentists in Bloomfield →Frequently Asked Questions
What is the NPI number of Daniel D Lee?
The NPI number of Daniel D Lee is 1508539503. It was assigned on July 27, 2021 and is currently active in the NPPES registry.
What is the specialty of Daniel D Lee?
Daniel D Lee is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02852700.
Where does Daniel D Lee practice?
The practice location is 1455 Broad St Ste 105, Bloomfield, NJ 07003-3039. The office can be reached at 862-702-5234 (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 1508539503 directly on the NPPES registry website.