Eun Jin Lee, D.D.S

General Practice Dentistry · Marion, IL

Individual Active NPI

NPI number 1932461639

Practice location

3115 Williamson County Pkwy
Marion, IL 62959-5235
Phone
(618) 969-8600
Fax
(618) 997-8978

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NPI record

NPI
1932461639
Entity type
Individual (Type 1)
Enumeration date
June 9, 2012
Last updated
February 3, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019029033 IL

Mailing address

109 California St
PO Box 577
Carterville, IL 62918-1923
Phone
(618) 985-8221
Fax
(618) 985-4635

About Dr. Lee

Eun Jin 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 3115 Williamson County Pkwy, Marion, IL 62959-5235. The NPI number 1932461639 was assigned on June 9, 2012 and the record was last updated on February 3, 2015.

Dr. Lee lists a license in the registry: #019029033 (IL) 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 Eun Jin Lee, D.D.S?

The NPI number is 1932461639.

What is the phone number of Dr. Lee?

The phone number listed for the practice location is (618) 969-8600.

Where is Dr. Lee located?

3115 Williamson County Pkwy, Marion, IL 62959-5235.

What is the taxonomy code for Dr. Lee?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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