DR. JENNY MYUNGWON LEE (NPI# 1407821994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407821994 |
| Entity Type | Individual |
| Full Name | DR. JENNY MYUNGWON LEE |
| Credential | DDS, MS |
| Practice Address |
808 Main St. Klamath Falls OR 97601 |
| Practice Telephone | 5418848668 |
| Practice Fax Number | 5418854854 |
| Mailing Telephone | 5418848668 |
| Mailing Fax Number | 5418854854 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2011-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
D6752 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821637182 | Jenny Lee | Physical Medicine & Rehabilitation | 885 2nd Ave Lowr Level, New York, NY 10017-2201 | 2020-01-03 |
| 1598137622 | Jenny Hyun Jin Lee | Pharmacist | 7259 Corvina Ct Unit 29, Rancho Cucamonga, CA 91739-1898 | 2015-10-28 |
| 1477922664 | Jenny Lee | Pharmacist | 21720 73rd Ave, Floor 2, Oakland Gardens, NY 11364-2932 | 2015-09-17 |
| 1467844456 | Jenny Yin Chen Lee | Physical Therapist | 20506 Vejar Rd, Walnut, CA 91789-2543 | 2015-02-27 |
| 1861823478 | Jenny Lee | Acupuncturist | 2010 W Chester Pike Ste 448, Havertown, PA 19083-2741 | 2013-12-06 |
| 1669787255 | Jenny Anne Lee | Nurse Practitioner | 1159 W Jefferson St Ste 101, Franklin, IN 46131-2795 | 2010-08-09 |
| 1578790275 | Jenny Lee | Physical Medicine & Rehabilitation | Dept of Veteran Affairs 179-00 Linden Blvd, Jamaica, NY 11425-4831 | 2009-06-19 |
| 1356576748 | Jenny J Lee | Marriage & Family Therapist | 905 San Ramon Valley Blvd Ste 212, Danville, CA 94526 | 2009-05-28 |
| 1629274238 | Jenny Inchin Lee | Internal Medicine | 1313 Laurel St Ste 106, San Carlos, CA 94070-5013 | 2007-06-21 |
| 1922160415 | Jenny Lee | Acupuncturist | 3974 Okeechobee Blvd Ste 5, West Palm Beach, FL 33409-4043 | 2006-12-14 |
| Street Address |
808 MAIN ST. |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| 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 structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1427504828 | Shashank Joshi | Dentist | 1739 W Harvard Ave, Roseburg, OR 97471-2716 | 2016-08-26 |
| 1982056479 | Mari Heslinga | Dentist | 21332 Sw Langer Farms Pkwy Ste 126, Sherwood, OR 97140 | 2016-07-07 |
| 1376944314 | Mikhail Garibov | Dentist | 17895 Nw Evergreen Pkwy Ste 130, Beaverton, OR 97006-7402 | 2014-09-09 |
| 1548671340 | Polaris Dental Specialists | Dentist | 620 12th Street Se, Salem, OR 97301 | 2014-05-14 |
| 1295159986 | Andrew N Dow Dmd PC | Dentist | 4750 Village Plaza Loop Ste 102, Eugene, OR 97401-6601 | 2014-02-14 |
| 1043581465 | Riverplace Periodontics PC | Dentist | 2636 Se Harrison Street, Suite A, Milwaukie, OR 97222 | 2012-01-17 |
| 1730472986 | Wilson D Lee | Dentist | 315 Nw Lost Springs Ter, #401, Portland, OR 97229-6444 | 2011-05-20 |
| 1184954422 | Kamran Haghighat Bds Ms PC | Dentist | 833 Sw 11th Ave Ste 1020, Portland, OR 97205-2124 | 2010-01-08 |
| 1467683276 | Sunny L Drake | Dentist | 2235 Mission St Se Ste 250, Salem, OR 97302-1294 | 2009-07-29 |
| Find all providers with the same taxonomy | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
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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.