DR. SOO JIN LEE DMD NPI 1518451103

NPI Information

  • NPI: 1518451103
  • Provider Name: DR. SOO JIN LEE, DMD
  • Classification: Dentist - 1223X2210X
  • Specialization: Orofacial Pain
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1318 BEACON ST STE 1
    BROOKLINE, MA
    ZIP 02446
  • Phone: (857) 858-0246

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NPI Details

DR. Soo Jin Lee, DMD is an orofacial pain dentist in Brookline, MA with 8 years of experience. The provider is a dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain. DR. Soo Jin Lee, DMD NPI is 1518451103. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduation Year:2018

The provider's business location address is:

1318 BEACON ST STE 1
BROOKLINE, MA
ZIP 02446
Phone: (857) 858-0246
Fax: (857) 858-0345

The NPI 1518451103 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 6/18/2018 and was last updated on 11/9/2024.

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
11223X2210XDentistOrofacial PainDN10000184MASSACHUSETTSYes

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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