DR. SEONG WOOK LEE D.M.D
NPI 1861582801
Dentist in Rancho Cucamonga, CA

Active since October 13, 2006PECOS Enrolled
11438 KENYON WAY # 3C, RANCHO CUCAMONGA, CA 91701(909) 945-5262 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 22, 2022, Jul 21, 2022 (2 updates tracked since 2022).

About Dr. Seong Wook Lee D.m.d NPPES

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

DR. SEONG WOOK LEE D.M.D (NPI 1861582801) is an individual dentist in Rancho Cucamonga, California, licensed in California (54854) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1861582801
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SEONG WOOK LEECredential: D.M.D
Location Address11438 KENYON WAY # 3CRancho Cucamonga, CA 91701-9230
Mailing Address501 Lakeside DrFullerton, CA 92835-1509 · (714) 351-7875
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateSeptember 22, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
NPI 1861582801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 54854
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.

Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License S7-128 (NV)
11438 KENYON WAY # 3C, Rancho Cucamonga, CA 91701

Secondary Practice Location 1

Location 13016 W Charleston Blvd Ste 145Las Vegas, NV 89102-1964 · Phone (702) 583-6856

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)

Dr. Seong Wook Lee D.m.d 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 91701 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 Seong Lee's NPI number?

The NPI number for Seong Lee is 1861582801. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Seong Lee located?

Seong Lee practices at 11438 Kenyon Way # 3C, Rancho Cucamonga, CA 91701. The listed phone number is (909) 945-5262.

What is Seong Lee's specialty?

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

Is Seong Lee enrolled in Medicare?

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

What insurance does Seong Lee accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 8 other insurers list Seong 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 Seong Lee was last updated on September 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.