Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205219318 Individual Practitioner Female Practitioner

Dr. Eom Ji Lee , DMD

Dentist • Jeffersonville, IN

Professional Overview & Biography Verified Profile Summary

Dr. Eom Ji Lee, DMD is a registered healthcare professional specializing in Dentist in Jeffersonville, IN. Practice services are available at 2760 JEFFERSON CENTRE WAY STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2760 Jefferson Centre Way Ste 2

Jeffersonville, IN 471308266

Telephone 8122842206
Fax 8122842216
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jeffersonville, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Jeffersonville, IN (1682 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: 2021-01-18
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 12012839A

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 KY 9637

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.

Secondary Practice Locations

500 Winchester Ave

Ashland, KY 411017362

Phone: 6066189963

3438 Taylor Blvd

Louisville, KY 40215

Phone: 5023664442

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1649392820

Doctor of Dental Medicine

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location January 18, 2021

Registered at 2760 JEFFERSON CENTRE WAY STE 2, JEFFERSONVILLE, IN 471308266 (Tel: 8122842206)

📍
Updated Business Mailing Address January 18, 2021

Registered at 2760 JEFFERSON CENTRE WAY STE 2, JEFFERSONVILLE, IN 471308266 (Tel: 8122842206)

👤
Provider Name / Credentials Updated January 18, 2021

Recorded as EOM JI LEE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2021

Dentist (License #12012839A in IN)

📍
Updated Practice Location October 08, 2018

Registered at 3438 TAYLOR BLVD, LOUISVILLE, KY 40215 (Tel: 5023664442)

📍
Updated Business Mailing Address October 08, 2018

Registered at 3438 TAYLOR BLVD, LOUISVILLE, KY 402152648 (Tel: 5023664442)

NPI Profile Active July 07, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2015

Registered at 500 WINCHESTER AVE, ASHLAND, KY 411017362 (Tel: 6066189963)

📍
Updated Business Mailing Address July 07, 2015

Registered at 1209 BLUEGRASS TRL, JEFFERSONVILLE, IN 471306713 (Tel: 7576353456)

👤
Provider Name / Credentials Updated July 07, 2015

Recorded as EOM JI LEE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2015

Dentist (License #9637 in KY)

🟢
Initial NPI Registration & Enumeration July 07, 2015

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: 1205219318
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2015
Last Update: January 18, 2021
Sole Proprietor: No

Mailing Address

2760 Jefferson Centre Way Ste 2

Jeffersonville, IN 471308266

Phone: 8122842206

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.