Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235669920 Individual Practitioner Male Practitioner

Dr. Ji Yoon Lee , DDS

Dentist - General Practice • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Ji Lee, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fort Worth, TX. Practice services are available at 3400 TEXAS SAGE TRL STE 136 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3400 Texas Sage Trl Ste 136

Fort Worth, TX 761778604

Telephone 8177501300
Associated Practice Facility / Clinic
🏢 Heritage Modern Dentistry, Pc Facility NPI 1811268600

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
289 Specialists

Practicing in Fort Worth, TX (10570 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 34470

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

3 Associated Practitioners
NPI 1659719045

Doctor of Dental Surgery

NPI 1689595944

Doctor of Dental Surgery

Dr. Gunnar Boelman , DMD

Dentist - General Practice

NPI 1982220562

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 October 16, 2018

Registered at 3400 TEXAS SAGE TRL STE 136, FORT WORTH, TX 761778604 (Tel: 8177501300)

📍
Updated Business Mailing Address October 16, 2018

Registered at 3400 TEXAS SAGE TRL STE 136, FORT WORTH, TX 761778604 (Tel: 8177501300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2018

Dentist (License #34470 in TX)

NPI Profile Active June 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2017

Registered at 1901 1ST AVENUE, METROPOLITAN HOSPITAL CENTER DEPARTMENT OF DENTAL MEDI, NEW YORK, NY 10029 (Tel: 2124236262)

📍
Updated Business Mailing Address June 14, 2017

Registered at 1901 1ST AVE, NEW YORK, NY 100297404

👤
Provider Name / Credentials Updated June 14, 2017

Recorded as JI LEE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 14, 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: 1235669920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2017
Last Update: October 16, 2018
Sole Proprietor: Yes

Mailing Address

3400 Texas Sage Trl Ste 136

Fort Worth, TX 761778604

Phone: 8177501300

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.