Dr. So Jung Lee , DMD
Dentist - General Practice • Centreville, VA
Professional Overview & Biography Verified Profile Summary
Dr. So Jung Lee, DMD is a registered healthcare professional specializing in Dentist - General Practice in Centreville, VA. Practice services are available at 13880 BRADDOCK RD STE 109 under active NPI credentials.
Practice Location & Contact Primary Location
13880 Braddock Rd Ste 109
Centreville, VA 201212460
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Centreville, VA
Practicing in Centreville, VA (3535 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2022-04-22NUCC Taxonomy Code: 1223G0001X
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.
NUCC Taxonomy Code: 1223G0001X
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
Dentist - General Practice
HO1
Dentist - Periodontics
Dentist
Doctor of Dental Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 13880 BRADDOCK RD STE 109, CENTREVILLE, VA 201212460 (Tel: 7038309990)
Registered at 9450 FAIRFAX BLVD APT 1504, FAIRFAX, VA 220312422 (Tel: 7039694878)
Dentist (License #30.026164 in OH)
Registered at 2537 JOHN MILTON DR, HERNDON, VA 201712527 (Tel: 7032598477)
Registered at 2537 JOHN MILTON DR, HERNDON, VA 201712527 (Tel: 7039694878)
Registered at 9450 FAIRFAX BLVD APT 1504, FAIRFAX, VA 220312422 (Tel: 7039694878)
Dentist (License #0401417223 in VA)
NPI status registered as active in NPPES database
Registered at 12409 LORAIN AVE, CLEVELAND, OH 441113515 (Tel: 2162526622)
Registered at 1972 E 83RD ST, CLEVELAND, OH 441034252 (Tel: 7039694878)
Recorded as SO JUNG LEE, D.M.D.
Dentist (License #30.026164 in OH)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
9450 Fairfax Blvd Apt 1504
Fairfax, VA 220312422
Phone: 7039694878
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