Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861826935 Individual Practitioner Male Practitioner

Dr. Ilkyu Jason Lee , DMD

Dentist • Salem, OR

Professional Overview & Biography Verified Profile Summary

Dr. Ilkyu Lee, DMD is a registered healthcare professional specializing in Dentist in Salem, OR. Practice services are available at 1160 LIBERTY ST SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1160 Liberty St Se

Salem, OR 973024143

Telephone 5033633311
Fax 5033644950
Associated Practice Facility / Clinic
🏢 Crc Health Oregon, Llc Facility NPI 1427397074

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
83 Specialists

Practicing in Salem, OR (1289 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D10102

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 OK 6545

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. William Johansen , DDS

Dentist - General Practice

NPI 1609942143

Doctor of Dental Surgery

NPI 1700276979

Doctor of Dental Medicine

Dr. R. Jeremy Haider , DMD

Dentist - General Practice

NPI 1861685430

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 October 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2014

Registered at 1160 LIBERTY ST SE, SALEM, OR 973024143 (Tel: 5033633311)

📍
Updated Business Mailing Address October 23, 2014

Registered at 1160 LIBERTY ST SE, SALEM, OR 973024143 (Tel: 5033633311)

👤
Provider Name / Credentials Updated October 23, 2014

Recorded as ILKYU LEE, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2014

Dentist (License #D10102 in OR)

🟢
Initial NPI Registration & Enumeration August 26, 2013

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: 1861826935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2013
Last Update: October 23, 2014
Sole Proprietor: No

Mailing Address

1160 Liberty St Se

Salem, OR 973024143

Phone: 5033633311

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.