DR. SOONJAE LEE D.M.D.
NPI 1336532712
Dentist - Dentist Anesthesiologist in Chadds Ford, PA

Active since March 10, 2015Opted out of Medicare · through Apr 27, 2027
225 WILMINGTON W CHESTER PIKE STE 202, CHADDS FORD, PA 19317(267) 270-5658 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 8, 2025, May 2, 2018, Apr 26, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Soonjae Lee D.m.d. NPPES

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

DR. SOONJAE LEE D.M.D. (NPI 1336532712) is an individual dentist anesthesiologist in Chadds Ford, Pennsylvania, licensed in Delaware (G1-0001439) and active in the NPI registry since March 2015. He has opted out of Medicare through April 27, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1336532712
Entity TypeIndividualMale
Primary Taxonomy1223D0004X
Provider Legal NameDR. SOONJAE LEECredential: D.M.D.
Location Address225 WILMINGTON W CHESTER PIKE STE 202Chadds Ford, PA 19317-9011
Mailing Address225 Wilmington W Chester Pike Ste 202Chadds Ford, PA 19317-9011 · (267) 270-5658
Sole ProprietorNo
Enumeration DateMarch 10, 2015
Last NPPES UpdateMay 8, 20254 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
NPI 1336532712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
Licenses Licensed in DE · G1-0001439 Licensed in PA · DS040281 Licensed in NJ · 22DI02659400
Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

225 WILMINGTON W CHESTER PIKE STE 202, Chadds Ford, PA 19317

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Soonjae Lee D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 27, 2019 through April 27, 2027.

Opt-Out Effective DateApril 27, 2019
Opt-Out In Effect ThroughApril 27, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19317 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Case Manager/Care Coordinator
225 WILMINGTON W CHESTER PIKE STE 202
CHADDS FORD, PA 19317
Home Health
225 WILMINGTON W CHESTER PIKE STE 202
CHADDS FORD, PA 19317
Home Health
225 WILMINGTON W CHESTER PIKE STE 202
CHADDS FORD, PA 19317

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336532712, enumerated as an "individual" on March 10, 2015.

The provider is located at 225 WILMINGTON W CHESTER PIKE STE 202 CHADDS FORD, PA 19317 and the phone number is (267) 270-5658.

Dentist with taxonomy code 1223D0004X and a focus in Dentist Anesthesiologist.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.