Sangyoon Lee is a Periodontics in Beachwood, Ohio. Sangyoon Lee practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Sangyoon Lee is 1801903810. The last update date is 2021-02-16.
Sangyoon Lee's current location address is 3619 Park East Dr Ste 312, Beachwood, Ohio. You can contact this provider via phone number 2162457543. The mailing address for Sangyoon Lee is 3619 Park East Dr Ste 312, Beachwood, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sangyoon Lee |
|---|---|
| Address | 3619 Park East Dr Ste 312, Beachwood, Ohio |
| Phone Number | 2162457543 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1801903810 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2021-02-16 |
Provider Mailing Address Detail
| Address | 3619 Park East Dr Ste 312 |
|---|---|
| City | Beachwood |
| State | Ohio (OH) |
| Post Code | 441224312 |
| Phone Number | 2162457543 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 21847 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2541646 | OH | -- |
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What is the unique identification code assigned to Sangyoon Lee by the Centers for Medicare & Medicaid Services?
The Sangyoon Lee has been issued the NPI (National Provider Identifier) 1801903810. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Sangyoon Lee located?
The Sangyoon Lee is located at 3619 Park East Dr Ste 312, Beachwood, OH 441224312.
What is Sangyoon Lee's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sangyoon Lee is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
When did Sangyoon Lee receive its 1801903810 assignment?
The Sangyoon Lee was assigned its 1801903810 on 2006-08-24, which is the date when this unique identifier was issued to the organization.
When was the information regarding Sangyoon Lee most recently updated?
The details pertaining to the Sangyoon Lee, including its address, specialty, and other relevant information, were last refreshed on 2021-02-16.