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Active NPI 1326574203 Individual Practitioner Male Practitioner

Dr. Eugene Yunsung Lee , DDS

Dentist - Prosthodontics • Lake Oswego, OR

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Lee, DDS is a registered healthcare professional specializing in Dentist - Prosthodontics in Lake Oswego, OR. Practice services are available at 4004 KRUSE WAY PL STE 125 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4004 Kruse Way Pl Ste 125

Lake Oswego, OR 970352493

Telephone 6504307099

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Prosthodontics in Lake Oswego, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Lake Oswego, OR (34 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: 2025-09-08
Dentist - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

State License OR D12261

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Dentist - Prosthodontics

NUCC Taxonomy Code: 1223P0700X

State License CA 105703

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location September 08, 2025

Registered at 4004 KRUSE WAY PL STE 125, LAKE OSWEGO, OR 970352493 (Tel: 6504307099)

📍
Updated Business Mailing Address September 08, 2025

Registered at 3570 S RIVER PKWY UNIT 1611, PORTLAND, OR 972394544 (Tel: 6504307099)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2025

Dentist (License #D12261 in OR)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2024

Dentist (License #105703 in CA)

NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address June 15, 2017

Registered at 800 POLY PL, BROOKLYN, NY 112097104 (Tel: 7186303651)

📍
Updated Practice Location June 15, 2017

Registered at 800 POLY PL, DENTAL SERVICE/160, BROOKLYN, NY 112097104 (Tel: 7186303651)

👤
Provider Name / Credentials Updated June 15, 2017

Recorded as EUGENE LEE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Student in an Organized Health Care Education/Training Program

NPI Profile Active May 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2017

Registered at 800 POLY PL, DENTAL SERVICE/160, BROOKLYN, NY 112097104 (Tel: 7186303651)

📍
Updated Business Mailing Address May 11, 2017

Registered at 800 POLY PL, DENTAL SERVICE/160, BROOKLYN, NY 112097104 (Tel: 7186303651)

👤
Provider Name / Credentials Updated May 11, 2017

Recorded as EUGENE LEE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 11, 2017

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: 1326574203
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2017
Last Update: September 08, 2025
Sole Proprietor: No

Mailing Address

3570 S River Pkwy Unit 1611

Portland, OR 972394544

Phone: 6504307099

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.