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JUNGWOO LEE DMD
NPI 1659598407
Dentist in Medford, MA

Active since April 20, 2007PECOS Enrolled
616 FELLSWAY, 2ND FL, MEDFORD, MA 02155(781) 306-9644(781) 306-9726 Get Directions Write a Review

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jungwoo Lee Dmd NPPES

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

JUNGWOO LEE DMD (NPI 1659598407) is an individual dentist in Medford, Massachusetts, licensed in Massachusetts (20719) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659598407
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJUNGWOO LEECredential: DMD
Location Address616 FELLSWAY, 2ND FLMedford, MA 02155-4959
Mailing Address616 Fellsway, 2nd FlMedford, MA 02155-4959 · (781) 306-9644 · Fax (781) 306-9726
Phone(781) 306-9644
Fax(781) 306-9726
Sole ProprietorNo
Enumeration DateApril 20, 2007
Last NPPES UpdateNovember 19, 2014
✔ NPI 1659598407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · 20719
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.
616 FELLSWAY, Medford, MA 02155
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life 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)

Jungwoo Lee Dmd 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 02155 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 4

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

JIEUN CHA DMD
Dentist
616 FELLSWAY
MEDFORD, MA 02155
Middlesex County (781) 306-9644
DR. PAUL K. KANG D.M.D.
Dentist (General Practice)
616 FELLSWAY, APT 14
MEDFORD, MA 02155
Middlesex County (857) 333-8145
WELLINGTON CIRCLE DENTAL PC
Dentist (Prosthodontics)
616 FELLSWAY, SECOND FLOOR
MEDFORD, MA 02155
Middlesex County (781) 306-9644
ZAKI M MUKDISSI DMD PC
Dentist (General Practice)
616 FELLSWAY, SECOND FLOOR
MEDFORD, MA 02155
Middlesex County (781) 306-9644

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 Jungwoo Lee's NPI number?

The NPI number for Jungwoo Lee is 1659598407. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Jungwoo Lee located?

Jungwoo Lee practices at 616 Fellsway 2nd Fl, Medford, MA 02155. The listed phone number is (781) 306-9644.

What is Jungwoo Lee's specialty?

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

Is Jungwoo Lee enrolled in Medicare?

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

What insurance does Jungwoo Lee accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Jungwoo 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 Jungwoo Lee was last updated on November 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.