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JUNG JUN LEE DMD
NPI 1053011866
Dentist in Saint Paul, MN

Active since March 09, 2023PECOS Enrolled
393 DUNLAP ST N STE 308, SAINT PAUL, MN 55104(651) 493-1345 Get Directions Write a Review

NPPES record last updated: September 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2024, Nov 6, 2023, Mar 9, 2023 (3 updates tracked since 2023).

About Jung Jun Lee Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUNG JUN LEE DMD (NPI 1053011866) is an individual dentist in Saint Paul, Minnesota, licensed in Minnesota (D15185) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053011866
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJUNG JUN LEECredential: DMD
Location Address393 DUNLAP ST N STE 308Saint Paul, MN 55104-4223
Mailing Address1959 Ne Pacific Street; Box 357134Seattle, WA 98195
Phone(651) 493-1345
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 9, 2023
Last NPPES UpdateSeptember 8, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2024
✔ NPI 1053011866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D15185
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
393 DUNLAP ST N STE 308, Saint Paul, MN 55104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jung Jun Lee Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123597424
PECOS Enrollment IDI20260515001870
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMERGENCY DENTAL PROFESSIONALS, LLC
Dentist (General Practice)
393 DUNLAP ST N STE 308
SAINT PAUL, MN 55104
Ramsey County (651) 788-7045
SCOTT MICHAEL DANZL DT
Dental Therapist
393 DUNLAP ST N STE 308
SAINT PAUL, MN 55104
Ramsey County (651) 788-7045
DR. DAVID JI HYUN PARK DMD
Dentist (General Practice)
393 DUNLAP ST N STE 308
SAINT PAUL, MN 55104
Ramsey County (443) 759-0910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jung Jun Lee's NPI number?

The NPI number for Jung Jun Lee is 1053011866. It was assigned to this individual provider in the NPPES registry on March 9, 2023.

Where is Jung Jun Lee located?

Jung Jun Lee practices at 393 Dunlap St N Ste 308, Saint Paul, MN 55104. The listed phone number is (651) 493-1345.

What is Jung Jun Lee's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jung Jun Lee enrolled in Medicare?

Yes. Jung Jun Lee is registered in the Medicare PECOS enrollment system.

What insurance does Jung Jun Lee accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Jung Jun Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jung Jun Lee was last updated on September 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.