SANG EUN LEE D.D.S. INC.
NPI 1083890917
Dentist - General Practice in Redlands, CA
About Sang Eun Lee D.d.s. Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANG EUN LEE D.D.S. INC. (NPI 1083890917) is a healthcare organization registered as a general practice in Redlands, California and active in the NPI registry since January 2008. The organization lists Sang Eun Lee, C.e.o., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sang Eun Lee D.d.s. Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sang Eun Lee D.D.S. Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sang Eun Lee D.D.S. Inc.'s NPI number?
The NPI number for Sang Eun Lee D.D.S. Inc. is 1083890917. It was assigned to this organization in the NPPES registry on January 10, 2008.
Where is Sang Eun Lee D.D.S. Inc. located?
Sang Eun Lee D.D.S. Inc. is located at 620 Alabama St, Redlands, CA 92373. The listed phone number is (909) 851-7323.
What is Sang Eun Lee D.D.S. Inc.'s specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Sang Eun Lee D.D.S. Inc. enrolled in Medicare?
Yes. Sang Eun Lee D.D.S. Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sang Eun Lee D.D.S. Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Sang Eun Lee D.D.S. Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Sang Eun Lee D.D.S. Inc. was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.
# Sang Eun Lee D.d.s. Inc. · NPI 1083890917
General Practice organization in Redlands, California. Organization record, active in the CMS NPPES registry since January 10, 2008.
## Identity
- **NPI:** 1083890917 (Entity type: Organization)
- **Enumerated:** January 10, 2008
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Organization subpart:** No
- **Authorized official:** Sang Lee, C.E.O.
## Practice location
- **Address:** 620 ALABAMA ST, Redlands, CA 92373-8059
- **Phone:** (909) 851-7323
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Oral Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1083890917) · Data from the CMS NPPES public registry.