GRESHAM PEDIATRIC DENTISTRY
NPI 1942573118
Dentist - Pediatric Dentistry in Gresham, OR

Q: What is Jiyoung E Lee Dmd PC's NPI number?

The NPI number for Jiyoung E Lee Dmd PC is 1942573118. It was assigned to this organization in the NPPES registry on February 17, 2012. The provider is doing business as Gresham Pediatric Dentistry.

Q: What is Jiyoung E Lee Dmd PC's specialty?

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

Active since February 17, 2012

831 NW COUNCIL DR STE 210, GRESHAM, OR 97030(503) 666-9436 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2020, Feb 29, 2016 (2 updates tracked since 2016).

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About Gresham Pediatric Dentistry NPPES

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

GRESHAM PEDIATRIC DENTISTRY (NPI 1942573118) is a healthcare organization registered as a pediatric dentistry in Gresham, Oregon and active in the NPI registry since February 2012. The organization lists Jiyoung Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1942573118

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameJIYOUNG E LEE DMD PC

Location Address831 NW COUNCIL DR STE 210Gresham, OR 97030-3724

Mailing Address831 Nw Council Dr, Ste 210Gresham, OR 97030-3721 · (503) 761-2243 · Fax (503) 761-1540

Phone(503) 666-9436

Organization SubpartNo

Authorized OfficialJiyoung LeeOwner · (503) 666-9436

Enumeration DateFebruary 17, 2012

Last NPPES UpdateJune 23, 20202 updates tracked since enumeration

NPPES CertifiedJune 23, 2020

✔ NPI 1942573118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in OR · D8776

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.

831 NW COUNCIL DR STE 210, Gresham, OR 97030

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Other Names 1

Doing Business AsGresham Pediatric Dentistry

Other Identifiers 1

Medicaid028475OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. JIYOUNG ELIZABETH LEE DMD

Dentist (Pediatric Dentistry)

831 NW COUNCIL DR STE 210
GRESHAM, OR 97030

Multnomah County (503) 666-9436

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 Jiyoung E Lee Dmd PC's NPI number?

The NPI number for Jiyoung E Lee Dmd PC is 1942573118. It was assigned to this organization in the NPPES registry on February 17, 2012. The provider is doing business as Gresham Pediatric Dentistry.

Where is Jiyoung E Lee Dmd PC located?

Jiyoung E Lee Dmd PC is located at 831 NW Council Dr Ste 210, Gresham, OR 97030. The listed phone number is (503) 666-9436.

What is Jiyoung E Lee Dmd PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jiyoung E Lee Dmd PC was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.