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Active NPI 1588584486 Individual Practitioner Male Practitioner

Dr. Seotack Lee , DDS

Dentist - General Practice • Elyria, OH

Professional Overview & Biography Verified Profile Summary

Dr. Seotack Lee, DDS is a registered healthcare professional specializing in Dentist - General Practice in Elyria, OH. Practice services are available at 42707 N RIDGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

42707 N Ridge Rd

Elyria, OH 440351054

Telephone 4403243441
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Elyria, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
27 Specialists

Practicing in Elyria, OH (4287 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: 2026-07-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH 30.028609

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

7 Associated Practitioners
Dr. Matthew Rasanow , DDS

Dentist - General Practice

NPI 1255827606

Doctor of Dental Surgery

Dr. Winnie Wong , DMD

Dentist - General Practice

NPI 1285080119

Doctor of Dental Medicine

Dr. Santoshiratnam Kedarsetty , DMD

Dentist - General Practice

NPI 1427407840

Doctor of Dental Medicine

Dr. Robert Rassie , DDS

Dentist - General Practice

NPI 1467586966

Doctor of Dental Surgery

Bashar Abu Jaradeh

Dentist - General Practice

NPI 1508700063
NPI 1528790045

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 July 20, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2026

Registered at 42707 N RIDGE RD, ELYRIA, OH 440351054 (Tel: 4403243441)

📍
Updated Business Mailing Address July 20, 2026

Registered at 42707 N RIDGE RD, ELYRIA, OH 440351054 (Tel: 4403243441)

👤
Provider Name / Credentials Updated July 20, 2026

Recorded as SEOTACK LEE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2026

Dentist (License #30.028609 in OH)

🟢
Initial NPI Registration & Enumeration July 20, 2026

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: 1588584486
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2026
Last Update: July 20, 2026
Sole Proprietor: No

Mailing Address

42707 N Ridge Rd

Elyria, OH 440351054

Phone: 4403243441

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.