Active NPIIndividual providerSole proprietor

Eunice D Lee, DMD

Dentist, Pediatric Dentistry in Fairfield, Connecticut

NPI Number1760741318
Practice location
2480 Black Rock Tpke Ste 1, Fairfield, CT 06825-2406
Fax
203-763-4232
Last updated
December 7, 2022

Eunice Dongyoon Lee is a Dentist, Pediatric Dentistry based in Fairfield, CT. Eunice Dongyoon Lee practices in Fairfield, CT and has the professional credentials of DMD. The NPI Number for Eunice Dongyoon Lee is 1760741318 and holds a License No. 2.011229 (CT). The current practice location address for Eunice Dongyoon Lee is 2480 Black Rock Tpke Ste 1, Fairfield, CT 06825-2406 and can be reached out via phone at 203-763-4200 and via fax at 203-763-4232.

Provider Profile Details

NPI Number
1760741318
Provider Name
Eunice Dongyoon Lee
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
2480 Black Rock Tpke Ste 1, Fairfield, CT 06825-2406
Phone Number
203-763-4200
Fax Number
203-763-4232
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
Yes
Provider Enumeration Date
May 15, 2012
Last Update Date
December 7, 2022
Certification Date
December 7, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
2480 Black Rock Tpke Ste 1
Fairfield, CT 06825-2406
Zip
06825-2406
Phone Number
203-763-4200
Fax Number
203-763-4232
Fairfield, CT 06825Get directions →

Provider Business Mailing Address Details

Address
2480 Black Rock Tpke Ste 1
Fairfield, CT 06825-2406
City
Fairfield
State
CT
Zip
06825-2406
Phone Number
203-763-4200
Fax Number
203-763-4232

License Information

License Number
2.011229
License State
CT
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · Primary

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 Eunice D Lee, DMD?

The NPI number of Eunice D Lee, DMD is 1760741318. It was assigned on May 15, 2012 and is currently active in the NPPES registry.

What is the specialty of Eunice D Lee, DMD?

Eunice D Lee, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in CT under license number 2.011229.

Where does Eunice D Lee, DMD practice?

The practice location is 2480 Black Rock Tpke Ste 1, Fairfield, CT 06825-2406. The office can be reached at 203-763-4200 (phone) or 203-763-4232 (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 1760741318 directly on the NPPES registry website.

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