JU YONG LEE DDS NPI 1245886894

NPI Information

  • NPI: 1245886894
  • Provider Name: JU YONG LEE, DDS
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 10040 ALTA DR STE 110
    LAS VEGAS, NV
    ZIP 89145
  • Phone: (702) 425-3454

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NPI Details

Ju Yong Lee, DDS is a pediatric dentistry dentist in Las Vegas, NV. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Ju Yong Lee, DDS NPI is 1245886894. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10040 ALTA DR STE 110
LAS VEGAS, NV
ZIP 89145-630
Phone: (702) 425-3454

The enumeration date for this NPI number is 8/9/2019 and was last updated on 10/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice104283CALIFORNIANo
21223P0221XDentistPediatric DentistryS6-238CNEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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