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DR. JAEBUM LEE DDS, MSD, PHD
NPI 1083921340
Dentist - Periodontics in Coppell, TX

Active since September 08, 2010
897 N MACARTHUR BLVD STE 100, COPPELL, TX 75019(972) 315-2345 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jaebum Lee Dds, Msd, Phd NPPES

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

DR. JAEBUM LEE DDS, MSD, PHD (NPI 1083921340) is an individual periodontics provider in Coppell, Texas, licensed in Texas (29604) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1083921340
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JAEBUM LEECredential: DDS, MSD, PHD
Location Address897 N MACARTHUR BLVD STE 100Coppell, TX 75019-2706
Mailing Address897 N Macarthur Blvd Ste 100Coppell, TX 75019-2706 · (972) 315-2345
Phone(972) 315-2345
Sole ProprietorNo
Enumeration DateSeptember 8, 2010
Last NPPES UpdateMarch 30, 2023
NPPES CertifiedMay 19, 2021
✔ NPI 1083921340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in TX · 29604
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
897 N MACARTHUR BLVD STE 100, Coppell, TX 75019
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 Jaebum Lee's NPI number?

The NPI number for Jaebum Lee is 1083921340. It was assigned to this individual provider in the NPPES registry on September 8, 2010.

Where is Jaebum Lee located?

Jaebum Lee practices at 897 N Macarthur Blvd Ste 100, Coppell, TX 75019. The listed phone number is (972) 315-2345.

What is Jaebum Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Jaebum Lee accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 18 other insurers list Jaebum 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 Jaebum Lee was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.