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MIMI JOONYOUNG LEE DDS MD NPI 1366604829


NPI Information

NPI: 1366604829
Provider Name: MIMI JOONYOUNG LEE, DDS, MD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
3915 BROADWAY
NEW YORK, NY
ZIP 10032
Phone: (212) 567-5536
Get Directions

Mimi Joonyoung Lee, DDS, MD is an oral and maxillofacial surgery dentist in New York, NY. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Mimi Joonyoung Lee, DDS, MD NPI is 1366604829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3915 BROADWAY
NEW YORK, NY
ZIP 10032-565
Phone: (212) 567-5536
Fax: (212) 202-6447

The NPI 1366604829 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/26/2008 and was last updated on 2/25/2016.


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
1204E00000XOral & Maxillofacial Surgery265566-1NEW YORKNo
2390200000XStudent in an Organized Health Care Education/Training ProgramGEORGIANo
31223S0112XDentistOral and Maxillofacial Surgery056100-1NEW YORKYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.