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MR. JAE YONG LEE D.D.S.
NPI 1174646632
Dentist in Los Angeles, CA

Active since April 09, 2007
505 S. VIRGIL AVE., SUITE 202, LOS ANGELES, CA 90020(213) 382-0022(213) 382-0020 Get Directions Write a Review

NPPES record last updated: January 26, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jae Yong Lee D.d.s. NPPES

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

MR. JAE YONG LEE D.D.S. (NPI 1174646632) is an individual dentist in Los Angeles, California, licensed in California (47932) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1174646632
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. JAE YONG LEECredential: D.D.S.
Location Address505 S. VIRGIL AVE., SUITE 202Los Angeles, CA 90020
Mailing Address505 S. Virgil Ave., Suite 202Los Angeles, CA 90020 · (213) 382-0022 · Fax (213) 382-0020
Phone(213) 382-0022
Fax(213) 382-0020
Sole ProprietorYes
Enumeration DateApril 9, 2007
Last NPPES UpdateJanuary 26, 2016
✔ NPI 1174646632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 47932
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.

505 S. VIRGIL AVE., Los Angeles, CA 90020
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 Jae Yong Lee's NPI number?

The NPI number for Jae Yong Lee is 1174646632. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Jae Yong Lee located?

Jae Yong Lee practices at 505 S. Virgil Ave. Suite 202, Los Angeles, CA 90020. The listed phone number is (213) 382-0022.

What is Jae Yong Lee's specialty?

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

What insurance does Jae Yong Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, 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 2 other insurers list Jae Yong 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 Jae Yong Lee was last updated on January 26, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.