- Practice location
- 616 Fellsway, 2ND Fl, Medford, MA 02155-4959
- Phone
- 781-306-9644
- Fax
- 781-306-9726
- Last updated
- November 19, 2014
Jungwoo Lee is a Dentist based in Medford, MA. Jungwoo Lee practices in Medford, MA and has the professional credentials of DMD. The NPI Number for Jungwoo Lee is 1659598407 and holds a License No. 20719 (MA). The current practice location address for Jungwoo Lee is 616 Fellsway, 2ND Fl, Medford, MA 02155-4959 and can be reached out via phone at 781-306-9644 and via fax at 781-306-9726.
Provider Profile Details
- NPI Number
- 1659598407
- Provider Name
- Jungwoo Lee
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 616 Fellsway, 2ND Fl, Medford, MA 02155-4959
- Phone Number
- 781-306-9644
- Fax Number
- 781-306-9726
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 20, 2007
- Last Update Date
- November 19, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 616 Fellsway
2ND Fl
Medford, MA 02155-4959 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-4959
- Phone Number
- 781-306-9644
- Fax Number
- 781-306-9726
Provider Business Mailing Address Details
- Address
- 616 Fellsway
2ND Fl
Medford, MA 02155-4959 - City
- Medford
- State
- MA
- Zip
- 02155-4959
- Phone Number
- 781-306-9644
- Fax Number
- 781-306-9726
License Information
- License Number
- 20719
- License State
- MA
- 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 Medford, MA
View all Dentists in Medford →Frequently Asked Questions
What is the NPI number of Jungwoo Lee, DMD?
The NPI number of Jungwoo Lee, DMD is 1659598407. It was assigned on April 20, 2007 and is currently active in the NPPES registry.
What is the specialty of Jungwoo Lee, DMD?
Jungwoo Lee, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 20719.
Where does Jungwoo Lee, DMD practice?
The practice location is 616 Fellsway, 2ND Fl, Medford, MA 02155-4959. The office can be reached at 781-306-9644 (phone) or 781-306-9726 (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 1659598407 directly on the NPPES registry website.