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Active NPI 1730873662 Individual Practitioner Female Practitioner

Eunji Lee

Dentist - General Practice • Mineola, NY

Professional Overview & Biography Verified Profile Summary

Eunji Lee is a registered healthcare professional specializing in Dentist - General Practice in Mineola, NY. Practice services are available at 200 OLD COUNTRY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 Old Country Rd
Suite 460

Mineola, NY 115014293

Telephone 5166632752
Associated Practice Facility / Clinic
🏢 Steven S Shayani Md Pc Facility NPI 1972531564

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mineola, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
17 Specialists

Practicing in Mineola, NY (8411 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: 2025-09-29
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 064365

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.

Practice Associates & Co-Workers

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

23 Associated Practitioners
Dr. Melisa Savascioglu , DDS

Dentist - General Practice

NPI 1023700143

Doctor of Dental Surgery

Dr. Tobiras Whitfield , DDS

Student in an Organized Health Care Education/Training Program

NPI 1023802071

Doctor of Dental Surgery

Sabrina Ibabao

Student in an Organized Health Care Education/Training Program

NPI 1063261089
Aruj Malik

Student in an Organized Health Care Education/Training Program

NPI 1134860513
Dr. Seohyun Park , DDS

Student in an Organized Health Care Education/Training Program

NPI 1205523891

Doctor of Dental Surgery

Joshua Golbari

Student in an Organized Health Care Education/Training Program

NPI 1275374860

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2025

Dentist (License #064365 in NY)

NPI Profile Active June 05, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2023

Registered at 200 OLD COUNTRY RD, SUITE 460, MINEOLA, NY 115014293 (Tel: 5166632752)

📍
Updated Business Mailing Address June 05, 2023

Registered at 200 OLD COUNTRY RD STE 460, MINEOLA, NY 115014293

👤
Provider Name / Credentials Updated June 05, 2023

Recorded as EUNJI LEE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 05, 2023

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: 1730873662
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2023
Last Update: September 29, 2025
Sole Proprietor: Yes

Mailing Address

200 Old Country Rd Ste 460

Mineola, NY 115014293

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.