HYUN SAN LEE DMD
NPI 1780262568
Dentist - Orthodontics and Dentofacial Orthopedics in Bangor, ME

Active since April 01, 2021PECOS Enrolled
1048 UNION ST, BANGOR, ME 04401(207) 404-8100(207) 947-0435 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2021, Apr 1, 2021 (2 updates tracked since 2021).

About Hyun San Lee Dmd NPPES

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

HYUN SAN LEE DMD (NPI 1780262568) is an individual orthodontics and dentofacial orthopedics provider in Bangor, Maine, licensed in Maine (DEN4861) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780262568
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameHYUN SAN LEECredential: DMD
Location Address1048 UNION STBangor, ME 04401-3016
Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 404-8200 · Fax (207) 947-0435
Fax(207) 947-0435
Sole ProprietorNo
Enumeration DateApril 1, 2021
Last NPPES UpdateMay 5, 20212 updates tracked since enumeration
NPPES CertifiedMay 5, 2021
NPI 1780262568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in ME · DEN4861
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1048 UNION ST, Bangor, ME 04401

Accepted 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)

Hyun San 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 04401 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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 20

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

Dentist
1048 UNION ST
BANGOR, ME 04401
Dentist
1048 UNION ST
BANGOR, ME 04401
Dentist
1048 UNION ST
BANGOR, ME 04401
Dentist (Orthodontics and Dentofacial Orthopedics)
1048 UNION ST
BANGOR, ME 04401
Dentist
1048 UNION ST
BANGOR, ME 04401
Dentist
1048 UNION ST
BANGOR, ME 04401
Dentist
1048 UNION ST
BANGOR, ME 04401
Dentist
1048 UNION ST
BANGOR, ME 04401

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 Hyun San Lee's NPI number?

The NPI number for Hyun San Lee is 1780262568. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Hyun San Lee located?

Hyun San Lee practices at 1048 Union St, Bangor, ME 04401. The listed phone number is (207) 404-8100.

What is Hyun San Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Hyun San Lee enrolled in Medicare?

Yes. Hyun San Lee is registered in the Medicare PECOS enrollment system.

What insurance does Hyun San Lee accept?

Health plans from Anthem Blue Cross and Blue Sheld, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 2 other insurers list Hyun San 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 Hyun San Lee was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.