Jiyoung Elizabeth Lee in Gresham - Pediatric Dentistry
Jiyoung Elizabeth Lee - NPI 1477567154
Jiyoung Elizabeth Lee is a Pediatric Dentistry in Gresham, Oregon. Jiyoung Elizabeth Lee practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jiyoung Elizabeth Lee is 1477567154. The last update date is 2020-06-15.
Jiyoung Elizabeth Lee's current location address is 831 Nw Council Dr Ste 210, Gresham, Oregon. You can contact this provider via phone number 5036669436 and fax number 5039120757. The mailing address for Jiyoung Elizabeth Lee is 831 Nw Council Dr Ste 210, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jiyoung Elizabeth Lee |
|---|---|
| Address | 831 Nw Council Dr Ste 210, Gresham, Oregon |
| Phone Number | 5036669436 |
| Fax Number | 5039120757 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1477567154 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2020-06-15 |
Provider Mailing Address Detail
| Address | 831 Nw Council Dr Ste 210 |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970303724 |
| Phone Number | 5036669436 |
| Fax Number | 5039120757 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 20808 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 28475 | OR | OMAP |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jiyoung Elizabeth Lee?
The Jiyoung Elizabeth Lee has been issued the NPI (National Provider Identifier) 1477567154 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Jiyoung Elizabeth Lee is located?
The Jiyoung Elizabeth Lee is situated at the following address: 831 Nw Council Dr Ste 210, Gresham, OR, 970303724.
What is the area of specialization for Jiyoung Elizabeth Lee, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jiyoung Elizabeth Lee is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477567154 to Jiyoung Elizabeth Lee?
The Jiyoung Elizabeth Lee received its 1477567154 assignment from the Centers for Medicare & Medicaid Services on 2006-07-28.
As of what date were the details related to Jiyoung Elizabeth Lee most recently updated or revised?
The information pertaining to Jiyoung Elizabeth Lee, including its address, specialty, and other relevant details, was last updated or revised on 2020-06-15.