Active NPIIndividual providerSole proprietor

Dr. Moonsae Lee, DDS

Dentist, General Practice in Palisades Park, New Jersey

NPI Number1760694020
Practice location
127 Broad Ave, Palisades Park, NJ 07650-1441
Fax
—
Last updated
July 8, 2007

Moonsae Lee is a Dentist, General Practice based in Palisades Park, NJ. Moonsae Lee practices in Palisades Park, NJ and has the professional credentials of DDS. The NPI Number for Moonsae Lee is 1760694020 and holds a License No. 14983 (NJ). The current practice location address for Moonsae Lee is 127 Broad Ave, Palisades Park, NJ 07650-1441 and can be reached out via phone at 201-944-7236.

Provider Profile Details

NPI Number
1760694020
Provider Name
Moonsae Lee
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
127 Broad Ave, Palisades Park, NJ 07650-1441
Phone Number
201-944-7236
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
May 7, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
127 Broad Ave
Palisades Park, NJ 07650-1441
Zip
07650-1441
Phone Number
201-944-7236
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
127 Broad Ave
Palisades Park, NJ 07650-1441
City
Palisades Park
State
NJ
Zip
07650-1441
Phone Number
201-944-7236

License Information

License Number (1)
14983
License State (1)
NJ
Taxonomy (1)
Dentist, General Practice · 1223G0001X · Primary
License Number (2)
37736
License State (2)
NY
Taxonomy (2)
Dentist, General Practice · 1223G0001X

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. Moonsae Lee, DDS?

The NPI number of Dr. Moonsae Lee, DDS is 1760694020. It was assigned on May 7, 2007 and is currently active in the NPPES registry.

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

Dr. Moonsae Lee, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 14983.

Where does Dr. Moonsae Lee, DDS practice?

The practice location is 127 Broad Ave, Palisades Park, NJ 07650-1441. The office can be reached at 201-944-7236 (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 1760694020 directly on the NPPES registry website.

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