DR. ANDY JEONGHUN LEE (NPI# 1912255803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912255803 |
Entity Type | Individual |
Full Name | DR. ANDY JEONGHUN LEE |
Credential | DDS |
Practice Address |
1806 S Main St Weatherford TX 76086-5506 |
Practice Telephone | 8175942126 |
Practice Fax Number | 8175942136 |
Enumeration Date | 2012-08-27 |
Last Update Date | 2017-02-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | 61756 | CA | Dental Providers |
Y | 1223G0001X |
Dentist Specialization: General Practice |
28824 | TX | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902327026 | Andy Sungmin Lee | Dentist | 10 Museum Way Apt 928, Cambridge, MA 02141-1894 | 2017-06-28 |
1326437252 | Andy Joo Lee | Chiropractor | 18246 Solano River Ct, Fountain Valley, CA 92708-5949 | 2015-01-15 |
1205166774 | Andy Lee | Pharmacist | 20725 Hwy 99, Lynnwood, WA 98036 | 2010-01-06 |
1346401312 | Andy M Lee | Surgery | 61 Lincoln St Ste 101, Framingham, MA 01702-8264 | 2008-06-22 |
1285746578 | Andy Matthew Lee | Ophthalmology | 388 E Hwy 67, Duncanville, TX 75137-4159 | 2006-08-31 |
1750349296 | Andy C Lee | Family Medicine | #6 Lexington Blvd, Delaware, OH 43015-1047 | 2006-05-03 |
1518313352 | Andy Lee | Physician Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2016-05-11 |
1831544733 | Andy Chao Hsuan Lee | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2016-04-28 |
1174977193 | Andy Sangyoon Lee | Internal Medicine | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2016-04-15 |
1033573969 | Andy L Lee | Anesthesiology | 1959 Ne Pacific St Box 356540, Seattle, WA 98195-0001 | 2016-04-06 |
Street Address |
1806 S MAIN ST |
City | WEATHERFORD |
State | TX |
Zip Code | 76086-5506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902226889 | Texas Dental Health Professionals, P.C. | Dentist | 1806 S Main St, Weatherford, TX 76086-5506 | 2014-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104434810 | Beverly Diana Blair | Licensed Vocational Nurse | 870 Columbia Drive, Weatherford, Weatherford, TX 76086 | 2020-07-20 |
1275027385 | Star Family Medicine Pllc | Family Medicine | 933 Hilltop Dr Ste 100, Weatherford, TX 76086 | 2018-06-21 |
1174011324 | Anuj Yogesh Vyas | Student in an Organized Health Care Education/Training Program | Medical City Weatherford 713 E. Anderson, Weatherford, TX 76086 | 2018-04-24 |
1003321068 | Kleven Chiropractic, LLC | Chiropractor | 925 Santa Fe Drive, Suite #111, Weatherford, TX 76086 | 2017-12-12 |
1417471467 | Weatherford Health Services, LLC | General Acute Care Hospital | 713 East Anderson Street, Weatherford, TX 76086 | 2017-08-01 |
1710401021 | Kyle Evan Meason | Dentist | 2035 Fort Worth Hwy Ste 600, Weatherford, TX 76086 | 2017-07-28 |
1457898520 | Apmd LLC | Clinic/Center | 110 W I-20 Frontage Rd, Suite 130, Weatherford, TX 76086 | 2017-01-26 |
1861934887 | Laura Neel | Occupational Therapist | 250 Sante Fe Dr, Weatherford, TX 76086 | 2016-11-08 |
1588022040 | Heather Goddard | Nurse Practitioner | 920 Sante Fe Drive, Weatherford, TX 76086 | 2016-01-29 |
1689049413 | The Dermatology Spot Pllc | Dermatology | 1841 Martin Dr, 200, Weatherford, TX 76086 | 2015-12-04 |
Find all providers in zip 76086 |
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 |
---|---|---|---|---|
1689194847 | Zeenat Abdulali Kheraluwala | Dentist | 325 Adams Dr Ste 335, Weatherford, TX 76086-6742 | 2017-06-20 |
1619347523 | Marshall Heath Wright | Dentist | 1210 Clear Lake Rd., Weatherford, TX 76086 | 2015-10-05 |
1841504818 | Austin Scott Allen | Dentist | 325 Adams Dr, Suite 335, Weatherford, TX 76086-6736 | 2010-08-03 |
1063631414 | James Harvey Norwood IIi | Dentist | 708 E Anderson St, Weatherford, TX 76086-5706 | 2007-04-24 |
1598983660 | Forrest Lee Mclemore | Dentist | 610 Eureka St, Weatherford, TX 76086-6544 | 2007-04-23 |
1316079346 | David Robert Cox | Dentist | 702 Eureka St Ste A, Weatherford, TX 76086-6519 | 2007-03-13 |
1386786663 | William W Uraneck | Dentist | 617 E Tom Stafford, Weatherford, OK 73096 | 2007-02-13 |
1063564680 | Thomas J Novak | Dentist | 326 S Waco St, Weatherford, TX 76086-4308 | 2007-01-16 |
1699847145 | Weatherford Cosmetic & Family Dentistry | Dentist | 114 W Columbia St, Weatherford, TX 76086-4312 | 2006-11-13 |
1821168071 | Jim Wesley Logan | Dentist | 519 E Franklin, Weatherford, OK 73096-5337 | 2006-11-08 |
Find all providers in WEATHERFORD |
City | WEATHERFORD |
Zip Code | 76086 |
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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.