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Active NPI 1932461639 Individual Practitioner Female Practitioner

Dr. Eun Jin Lee , DDS

Dentist - General Practice • Marion, IL

Professional Overview & Biography Verified Profile Summary

Dr. Eun Jin Lee, DDS is a registered healthcare professional specializing in Dentist - General Practice in Marion, IL. Practice services are available at 3115 WILLIAMSON COUNTY PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3115 Williamson County Pkwy

Marion, IL 629595235

Telephone 6189698600
Fax 6189978978
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Marion, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Marion, IL (5581 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019029033

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
019029033 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1124259130

Doctor of Dental Medicine

NPI 1124330246

Doctor of Dental Medicine

Dr. Bradley Cox , DMD

Dentist - General Practice

NPI 1962958686

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2015

Registered at 3115 WILLIAMSON COUNTY PKWY, MARION, IL 629595235 (Tel: 6189698600)

📍
Updated Business Mailing Address February 03, 2015

Registered at 109 CALIFORNIA ST, PO BOX 577, CARTERVILLE, IL 629181923 (Tel: 6189858221)

👤
Provider Name / Credentials Updated February 03, 2015

Recorded as EUN JIN LEE, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2015

Dentist (License #019029033 in IL)

🟢
Initial NPI Registration & Enumeration June 09, 2012

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: 1932461639
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2012
Last Update: February 03, 2015
Sole Proprietor: No

Mailing Address

109 California St, Po Box 577

Carterville, IL 629181923

Phone: 6189858221

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.