DR. MOON SOO LEE DDS
NPI 1629189980
Dentist - General Practice in Fairfield, CT

Q: What is Moon Lee's NPI number?

The NPI number for Moon Lee is 1629189980. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Moon Lee's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Moon Lee was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 31, 2006PECOS Enrolled

2397 BLACK ROCK TPKE, FAIRFIELD, CT 06825(203) 372-8961(203) 372-1948 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Moon Soo Lee Dds NPPES

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

DR. MOON SOO LEE DDS (NPI 1629189980) is an individual general practice provider in Fairfield, Connecticut, licensed in Connecticut (7414) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629189980

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MOON SOO LEECredential: DDS

Location Address2397 BLACK ROCK TPKEFairfield, CT 06825-3229

Mailing Address2397 Black Rock TpkeFairfield, CT 06825-3229 · (203) 372-8961 · Fax (203) 372-1948

Phone(203) 372-8961

Fax(203) 372-1948

Sole ProprietorYes

Enumeration DateAugust 31, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1629189980 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 · 7414

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.

2397 BLACK ROCK TPKE, Fairfield, CT 06825

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Moon Soo Lee Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06825 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

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 Moon Lee's NPI number?

The NPI number for Moon Lee is 1629189980. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Moon Lee located?

Moon Lee practices at 2397 Black Rock Tpke, Fairfield, CT 06825. The listed phone number is (203) 372-8961.

What is Moon Lee's specialty?

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

Is Moon Lee enrolled in Medicare?

Yes. Moon Lee is registered in the Medicare PECOS enrollment system.

What insurance does Moon Lee accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Moon 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 Moon Lee was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.