JUN HO LEE (NPI# 1104971480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104971480 |
Entity Type | Individual |
Full Name | JUN HO LEE |
Practice Address |
1111 E Tulare Ave Tulare CA 93274-4561 |
Mailing Address |
267 Everglade Ave Clovis CA 93619-7584 |
Practice Telephone | 5596883315 |
Mailing Telephone | 5592979517 |
Enumeration Date | 2007-01-24 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
50775 | CA | Dental Providers |
Street Address |
1111 E TULARE AVE |
City | TULARE |
State | CA |
Zip Code | 93274-4561 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154726321 | Jaeyong Choi | Dentist | 1111 E Tulare Ave, Tulare, CA 93274-4561 | 2014-10-29 |
1134557499 | Jerome Villapa Sy-siong | Dentist | 1111 E Tulare Ave, Tulare, CA 93274-4561 | 2013-10-24 |
1063854909 | Brian Thang Nguyen | Dentist | 1111 E Tulare Ave, Tulare, CA 93274-4561 | 2013-07-19 |
1073808812 | Hilda De La Rosa Wee | Dentist | 1111 E Tulare Ave, Tulare, CA 93274-4561 | 2011-06-09 |
1275679334 | Western Dental Services, Inc. | Dentist | 1111 E Tulare Ave, Tulare, CA 93274-4561 | 2007-01-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811545502 | Patricia A Akins | Technician | 212 E Gannon Drive, Tulare, CA 93274 | 2019-08-27 |
1851956312 | Britney Ann Graham | Behavior Technician | 160 N L St, Tulare, Ca 93274, Tulare, CA 93274 | 2019-05-09 |
1427517812 | Adventist Health Physicians Network | Internal Medicine | 951 E. Merritt Ave., Tulare, CA 93274 | 2019-03-15 |
1396230710 | Claudia Azucena Gomez | Specialist/Technologist | 6165 Avenue 240, Tulare, CA 93274 | 2018-06-27 |
1679009708 | California Medical Imaging Associates, Inc | Radiology | 875 E. Merritt Ave, Tulare, CA 93274 | 2017-05-10 |
1073997201 | Family Healthcare Network | Clinic/Center | 263 S. West Street, Tulare, CA 93274 | 2015-07-17 |
1598195059 | Antoinette Gutierrez | Counselor | 724 N. Ben Maddox Way, Visalia, CA 93274 | 2013-11-20 |
1538401419 | Alisa Louise Martin | Dentist | 952 N. Cherry St., Tulare, CA 93274 | 2013-03-19 |
1053651539 | Saekyu Oh D.m.d Dental Corp | Dentist | 1407 Hillman Street, Tulare, CA 93274 | 2013-02-21 |
1346507985 | David Augustine Castro | Counselor | 209 North N Street, Tulare, CA 93274 | 2012-04-20 |
Find all providers in zip 93274 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538401419 | Alisa Louise Martin | Dentist | 952 N. Cherry St., Tulare, CA 93274 | 2013-03-19 |
1053651539 | Saekyu Oh D.m.d Dental Corp | Dentist | 1407 Hillman Street, Tulare, CA 93274 | 2013-02-21 |
1952457913 | Kelly Noelle Larkin | Dentist | 1008 N Cherry St, Tulare, CA 93274-2212 | 2007-01-25 |
1477630937 | Charles Thomas Yoshida | Dentist | 946 N Cherry St, Tulare, CA 93274-2210 | 2006-11-01 |
1619069010 | James Michael Moran | Dentist | 901 East Merritt Ave, Tulare, CA 93274 | 2006-09-29 |
1710086764 | Jasjeet S Malli | Dentist | 233 N M St, Tulare, CA 93274-4138 | 2006-09-22 |
1831110956 | Patricia Jeanne Drilling | Dentist | 877 E Merritt Ave, Tulare, CA 93274-2246 | 2006-07-22 |
1760402960 | David Stephen Humerickhouse | Dentist | 617 E Terrace Ave, Tulare, CA 93274-2173 | 2006-07-20 |
1538187620 | Christopher George Harbour | Dentist | 314 N K St, Tulare, CA 93274-4008 | 2006-07-17 |
1699323568 | Mahek Pipalia | Dentist | 233 N M St, Tulare, CA 93274-4138 | 2019-09-03 |
Find all providers in TULARE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.