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DR WOO JUNG LEE DDS INC NPI 1255510160


NPI Information

NPI: 1255510160
Provider Name: DR WOO JUNG LEE DDS INC

Doing Business As: GREAT SMILE DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
311 OAK RIDGE DR STE 4
ROSEVILLE, CA
ZIP 95661
Phone: (916) 784-6510
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DR WOO JUNG LEE DDS INC is a general practice dentist in Roseville, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR WOO JUNG LEE DDS INC NPI is 1255510160. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Great Smile Dental Group.

The provider's business location address is:

311 OAK RIDGE DR STE 4
ROSEVILLE, CA
ZIP 95661-427
Phone: (916) 784-6510
Fax: (916) 784-9017

The provider's authorized official is Woo Jung Lee .
The authorized official title is Ceo and has the following contact phone number (916) 784-6510.

The enumeration date for this NPI number is 10/26/2007 and was last updated on 10/26/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice50484CALIFORNIAYes

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: 4/28/2024

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