Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SO JUNG LEE, D.M.D.
ActiveSO JUNG LEE, D.M.D. is a General Dentistry healthcare provider located in CENTREVILLE, Virginia. NPI 1821612904 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · CENTREVILLE, VA
Registration Details
- NPI Number
- 1821612904
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 3, 2020 (6.164644232499 yrs)
- Last Updated
- Apr 22, 2022
- Licenses
-
30.026164 (OH)0401417223 (VA)
Practice Information
- Address
-
13880 BRADDOCK RD STE 109CENTREVILLE, VA, 201212460Browse VA providers · Browse ZIP 20121
- Phone
- 7038309990
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in CENTREVILLE, VA
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIE KEITH BEASLEY | DDS | 1356346266 |
| DR. MICHAEL HASKINS GORMAN | DDS | 1841206042 |
| DR. BRUCE RAYMOND HUTCHISON | DDS | 1750397956 |
| DR. JAE MIN CHONG | DMD | 1952314155 |
| DR. DAVID W. LUCHT | D.D.S. | 1265529622 |
| DR. JUDITH A THOMAS | DDS | 1831269349 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.