Dr. Moon S Lee, DDS
Dentist, General Practice in Fairfield, Connecticut
1629189980- Practice location
- 2397 Black Rock Tpke, Fairfield, CT 06825-3229
- Phone
- 203-372-8961
- Fax
- 203-372-1948
- Last updated
- July 8, 2007
Moon Soo Lee is a Dentist, General Practice based in Fairfield, CT. Moon Soo Lee practices in Fairfield, CT and has the professional credentials of DDS. The NPI Number for Moon Soo Lee is 1629189980 and holds a License No. 7414 (CT). The current practice location address for Moon Soo Lee is 2397 Black Rock Tpke, Fairfield, CT 06825-3229 and can be reached out via phone at 203-372-8961 and via fax at 203-372-1948.
Provider Profile Details
- NPI Number
- 1629189980
- Provider Name
- Moon Soo Lee
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2397 Black Rock Tpke, Fairfield, CT 06825-3229
- Phone Number
- 203-372-8961
- Fax Number
- 203-372-1948
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 31, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2397 Black Rock Tpke
Fairfield, CT 06825-3229 - City
- Fairfield
- State
- Connecticut
- Zip
- 06825-3229
- Phone Number
- 203-372-8961
- Fax Number
- 203-372-1948
Provider Business Mailing Address Details
- Address
- 2397 Black Rock Tpke
Fairfield, CT 06825-3229 - City
- Fairfield
- State
- CT
- Zip
- 06825-3229
- Phone Number
- 203-372-8961
- Fax Number
- 203-372-1948
License Information
- License Number
- 7414
- License State
- CT
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Moon S Lee, DDS?
The NPI number of Dr. Moon S Lee, DDS is 1629189980. It was assigned on August 31, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Moon S Lee, DDS?
Dr. Moon S Lee, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 7414.
Where does Dr. Moon S Lee, DDS practice?
The practice location is 2397 Black Rock Tpke, Fairfield, CT 06825-3229. The office can be reached at 203-372-8961 (phone) or 203-372-1948 (fax).
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 1629189980 directly on the NPPES registry website.