David Doo-Sang Lee, D.D.S.

General Practice Dentistry · Lodi, CA

Individual Active NPI

NPI number 1194049072

Practice location

1745 W Kettleman Ln
Lodi, CA 95242-9287
Phone
(718) 640-4317

Open in Google Maps

NPI record

NPI
1194049072
Entity type
Individual (Type 1)
Enumeration date
March 20, 2010
Last updated
December 13, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DDS101014 CA
Dentist 122300000X 054819 NY
General Practice Dentistry 1223G0001X 010241 CT

Mailing address

9953 W Taron Dr
Elk Grove, CA 95757-8160
Phone
(718) 640-4317

About Dr. Lee

David Doo-Sang Lee, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1745 W Kettleman Ln, Lodi, CA 95242-9287. The NPI number 1194049072 was assigned on March 20, 2010 and the record was last updated on December 13, 2016.

Dr. Lee lists 3 licenses in the registry: #DDS101014 (CA) for General Practice Dentistry; #054819 (NY) for Dentist; #010241 (CT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David Doo-Sang Lee, D.D.S.?

The NPI number is 1194049072.

What is the phone number of Dr. Lee?

The phone number listed for the practice location is (718) 640-4317.

Where is Dr. Lee located?

1745 W Kettleman Ln, Lodi, CA 95242-9287.

What is the taxonomy code for Dr. Lee?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Lodi

All General Practice Dentistry providers in Lodi, CA →