DR. SUNG MIN LEE (NPI# 1679636989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679636989 |
| Entity Type | Individual |
| Full Name | DR. SUNG MIN LEE |
| Credential | DDS |
| Practice Address |
8118 N West Lane 107 Stockton CA 95210 |
| Practice Telephone | 2094773660 |
| Practice Fax Number | 2094773660 |
| Mailing Telephone | 2094773660 |
| Mailing Fax Number | 2094773660 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 39975 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268227 | Sung Hyun Lee | Registered Nurse | 4800 Hanover Dr, Flower Mound, TX 75028-7324 | 2020-02-28 |
| 1114438637 | Sung Kwang Lee | General Practice | 2801 Falcon Ridge, Clermont, FL 34711 | 2017-10-24 |
| 1720471196 | Sung H Lee | Social Worker | 1150 N Knollwood Cir, Anaheim, CA 92801-1307 | 2015-03-10 |
| 1740687110 | Sung Lee | General Practice | 2918 Pasture Ln, Sugar Land, TX 77479-1845 | 2014-12-01 |
| 1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
| 1992139075 | Sung Bok Lee | Acupuncturist | 80-18 221street, Queens Village, NY 11427 | 2013-08-26 |
| 1104140532 | Sung K Lee | Pharmacist | 750 Klondike Ave, Staten Island, NY 10314-4824 | 2010-03-13 |
| 1063671568 | Sung W Lee | Dentist | 15870 Soquel Canyon Pkwy Ste I, Chino Hills, CA 91709-7941 | 2008-06-09 |
| 1093983660 | Sung S Lee | Physical Therapist | 6860 Commercial Dr, Unit C, Springfield, VA 22151-4201 | 2008-02-15 |
| 1336345347 | Sung Ae Lee | Dentist | 2560 Royal Lane, #222, Dallas, TX 75229 | 2007-06-26 |
| Street Address |
8118 N WEST LANE 107 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
| 1487216313 | Western Dental Services, Inc. | Dentist | 434 E Dr Martin Luther King Jr Blvd, Stockton, CA 95206-1435 | 2019-07-01 |
| 1801363825 | Western Dental Services, Inc. | Dentist | 616 W Hammer Ln Ste B, Stockton, CA 95210-3749 | 2018-10-29 |
| 1336635101 | Western Dental Services, Inc. | Dentist | 5756 Pacific Ave Ste 75, Stockton, CA 95207-5156 | 2018-07-05 |
| 1518469550 | Uriel Badillo Centeno | Dentist | 1035 W Robinhood Dr Ste 200, Stockton, CA 95207-5621 | 2018-03-06 |
| 1063940856 | James Rore Dds Inc | Dentist | 4255 Pacific Ave Ste 12, Stockton, CA 95207-7638 | 2017-05-24 |
| 1821547571 | John T. Reed, Dds, Inc. | Dentist | 333 San Carlos Way Ste A, Stockton, CA 95207-2037 | 2016-09-22 |
| 1285180232 | Sky Orion Martin | Dentist | 1310 E Swain Rd Ste 2, Stockton, CA 95210-3308 | 2016-08-30 |
| 1245683861 | Diana Furukawa | Dentist | 5345 N El Dorado St Ste 2, Stockton, CA 95207-5848 | 2016-07-19 |
| 1669861431 | Rajkamal Sohi | Dentist | 4053 E Morada Ln, Stockton, CA 95212-1608 | 2015-01-17 |
| Find all providers in STOCKTON | ||||
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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.