Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477567154 Individual Practitioner Female Practitioner

Dr. Jiyoung Elizabeth Lee , DMD

Dentist - Pediatric Dentistry • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Dr. Jiyoung Lee, DMD is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Gresham, OR. Practice services are available at 831 NW COUNCIL DR STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

831 Nw Council Dr Ste 210

Gresham, OR 970303724

Telephone 5036669436
Fax 5039120757
Associated Practice Facility / Clinic
🏢 Jiyoung E Lee Dmd Pc Facility NPI 1942573118

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Gresham, OR (180 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: 2020-06-15
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License OR D8776

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License MA 20808

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Omap
028475 (OR)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. John Frick Dmd Pc , DMD

Dentist - Pediatric Dentistry

NPI 1215926720

Doctor of Dental Medicine

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 15, 2020

Registered at 831 NW COUNCIL DR STE 210, GRESHAM, OR 970303724 (Tel: 5036669436)

📍
Updated Business Mailing Address June 15, 2020

Registered at 831 NW COUNCIL DR STE 210, GRESHAM, OR 970303724 (Tel: 5036669436)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2020

Dentist (License #20808 in MA)

NPI Profile Active February 16, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2012

Registered at 2150 NE DIVISION ST STE 201, GRESHAM, OR 970305859 (Tel: 5036669436)

📍
Updated Business Mailing Address February 16, 2012

Registered at 2150 NE DIVISION ST STE 201, GRESHAM, OR 970305859 (Tel: 5036669436)

👤
Provider Name / Credentials Updated February 16, 2012

Recorded as JIYOUNG LEE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2012

Dentist (License #D8776 in OR)

🟢
Initial NPI Registration & Enumeration July 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jiyoung Lee. Be the first to share your experience!

Sign in to leave a review for Dr. Jiyoung Lee

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1477567154
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2006
Last Update: June 15, 2020
Sole Proprietor: Yes

Mailing Address

831 Nw Council Dr Ste 210

Gresham, OR 970303724

Phone: 5036669436

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.