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DR. SOO JI LEE DMD
NPI 1255708830
Dentist - General Practice in New London, CT

Active since August 30, 2015
258 S FRONTAGE RD, NEW LONDON, CT 06320(860) 437-3462 Get Directions Write a Review

NPPES record last updated: November 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Soo Ji Lee Dmd NPPES

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

DR. SOO JI LEE DMD (NPI 1255708830) is an individual general practice provider in New London, Connecticut, licensed in Connecticut (011290) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1255708830
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SOO JI LEECredential: DMD
Location Address258 S FRONTAGE RDNew London, CT 06320-2641
Mailing Address320 Boston AvenueStratford, CT 06614-5213 · (203) 375-1388
Phone(860) 437-3462
Sole ProprietorNo
Enumeration DateAugust 30, 2015
Last NPPES UpdateNovember 16, 2016
✔ NPI 1255708830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CT · 011290
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
258 S FRONTAGE RD, New London, CT 06320
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Other Providers at the Same Location NPPES 6

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

SUNG WOO CHO DDS
Dentist (General Practice)
258 S FRONTAGE RD
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-3462
BYUNGCHUL PARK D.D.S.
Dentist (General Practice)
258 S FRONTAGE RD
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-3462
NEW LONDON DENTAL CARE, LLC
Dentist (General Practice)
258 S FRONTAGE RD
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-3462
DR. GI TAE KWON DDS
Dentist (General Practice)
258 S FRONTAGE RD
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-3462
LINDAWATTI HERMAWAN
Dentist (General Practice)
258 S FRONTAGE RD
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-3462
VIPASHA DESAI
Dentist
258 S FRONTAGE RD
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 347-3485

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 Soo Ji Lee's NPI number?

The NPI number for Soo Ji Lee is 1255708830. It was assigned to this individual provider in the NPPES registry on August 30, 2015.

Where is Soo Ji Lee located?

Soo Ji Lee practices at 258 S Frontage Rd, New London, CT 06320. The listed phone number is (860) 437-3462.

What is Soo Ji Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Soo Ji Lee 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.