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DR. MI SOOK LEE DMD, PHD
NPI 1821578758
Dentist - Pediatric Dentistry in Gainesville, FL

Active since August 20, 2018PECOS Enrolled
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 273-7643(352) 273-6765 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2023, Sep 11, 2022, Aug 3, 2021 and 3 more (6 updates tracked since 2018).

About Dr. Mi Sook Lee Dmd, Phd NPPES

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

DR. MI SOOK LEE DMD, PHD (NPI 1821578758) is an individual pediatric dentistry provider in Gainesville, Florida, licensed in Florida (DTP802) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821578758
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MI SOOK LEECredential: DMD, PHD
Location Address1600 SW ARCHER RDGainesville, FL 32610-0426
Mailing AddressPo Box 100426, 1395 Center Drive Room 11-6Gainesville, FL 32610-0426 · (352) 273-7643 · Fax (352) 273-6765
Phone(352) 273-7643
Fax(352) 273-6765
Sole ProprietorNo
Enumeration DateAugust 20, 2018
Last NPPES UpdateJanuary 19, 20246 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2024
✔ NPI 1821578758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in FL · DTP802✔ Licensed in CA · 102494✔ Licensed in NE · 7866
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 102494 (CA)
1600 SW ARCHER RD, Gainesville, FL 32610
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Mi Sook Lee Dmd, Phd 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 32610 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

DR. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

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 Mi Sook Lee's NPI number?

The NPI number for Mi Sook Lee is 1821578758. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Where is Mi Sook Lee located?

Mi Sook Lee practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 273-7643.

What is Mi Sook Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Mi Sook Lee enrolled in Medicare?

Yes. Mi Sook Lee is registered in the Medicare PECOS enrollment system.

What insurance does Mi Sook Lee accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Mi Sook 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 Mi Sook Lee was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.