- Practice location
- 111 E 210TH St, Bronx, NY 10467-2401
- Phone
- 347-577-4950
- Fax
- —
- Last updated
- January 16, 2020
Jungsun Lee is a Dentist based in Bronx, NY. Jungsun Lee practices in Bronx, NY. The NPI Number for Jungsun Lee is 1609364850 and holds a License No. 22DI02772100 (NJ). The current practice location address for Jungsun Lee is 111 E 210TH St, Bronx, NY 10467-2401 and can be reached out via phone at 347-577-4950.
Provider Profile Details
- NPI Number
- 1609364850
- Provider Name
- Jungsun Lee
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 111 E 210TH St, Bronx, NY 10467-2401
- Phone Number
- 347-577-4950
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 24, 2018
- Last Update Date
- January 16, 2020
- Certification Date
- January 16, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 E 210TH St
Bronx, NY 10467-2401 - City
- Bronx
- State
- New York
- Zip
- 10467-2401
- Phone Number
- 347-577-4950
Provider Business Mailing Address Details
- Address
- 100 Park Ave Apt 1108
Fort Lee, NJ 07024-3828 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-3828
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 22DI02772100
- License State (2)
- NJ
- Taxonomy (2)
- 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 Bronx, NY
View all Dentists in Bronx →Frequently Asked Questions
What is the NPI number of Jungsun Lee?
The NPI number of Jungsun Lee is 1609364850. It was assigned on April 24, 2018 and is currently active in the NPPES registry.
What is the specialty of Jungsun Lee?
Jungsun Lee is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02772100.
Where does Jungsun Lee practice?
The practice location is 111 E 210TH St, Bronx, NY 10467-2401. The office can be reached at 347-577-4950 (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 1609364850 directly on the NPPES registry website.