Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710923537 Individual Practitioner Male Practitioner

Dr. Jungwoo Lee , DDS

Dentist • Duluth, GA

Professional Overview & Biography Verified Profile Summary

Dr. Jungwoo Lee, DDS is a registered healthcare professional specializing in Dentist in Duluth, GA. Practice services are available at 11160 MEDLOCK BRIDGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11160 Medlock Bridge Rd

Duluth, GA 300972641

Telephone 7708477690
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Duluth, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
40 Specialists

Practicing in Duluth, GA (2164 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-18
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GA DN123077

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License IN 12010693

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License AZ D008679

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200501900 (IN)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 18, 2023

Registered at 11160 MEDLOCK BRIDGE RD, DULUTH, GA 300972641 (Tel: 7708477690)

📍
Updated Business Mailing Address October 18, 2023

Registered at 11210 OLBRICH TRL, JOHNS CREEK, GA 300972613 (Tel: 4806466107)

📍
Updated Practice Location February 22, 2018

Registered at 7545 W BELL RD STE 105, PEORIA, AZ 853823832 (Tel: 6234871122)

📍
Updated Business Mailing Address February 22, 2018

Registered at 7545 W BELL RD STE 105, PEORIA, AZ 853823832 (Tel: 6234871122)

👤
Provider Name / Credentials Updated February 22, 2018

Recorded as JUNGWOO LEE, DDS

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2128 MOUNDS RD, IMMEDIA DENT PC, ANDERSON, IN 46016 (Tel: 7656420400)

📍
Updated Business Mailing Address July 08, 2007

Registered at 9343 CAMERON RIDGE WAY APT 111, INDIANAPOLIS, IN 40240 (Tel: 3175099323)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JUNG WOO LEE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #12010693 in IN)

🟢
Initial NPI Registration & Enumeration June 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710923537
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2006
Last Update: October 18, 2023
Sole Proprietor: No

Mailing Address

11210 Olbrich Trl

Johns Creek, GA 300972613

Phone: 4806466107

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.