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Active NPI 1053298208 Individual Practitioner Male Practitioner

Dr. Jacob Hyunwoo Lee , DMD

Dentist - General Practice • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Lee, DMD is a registered healthcare professional specializing in Dentist - General Practice in Seattle, WA. Practice services are available at 4722 FAUNTLEROY WAY SW STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4722 Fauntleroy Way Sw Ste A

Seattle, WA 981164667

Telephone 2067528761
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
459 Specialists

Practicing in Seattle, WA (3345 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: 2025-08-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 70023720

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

5 Associated Practitioners
Dr. Cooper Bolak , DDS

Dentist - General Practice

NPI 1174524995

Doctor of Dental Surgery

Charlene Tsou

Dentist - General Practice

NPI 1265130694
NPI 1891579090

Doctor of Dental Medicine

Dr. Christopher Conser , DDS, MD

Dentist - Oral and Maxillofacial Surgery

NPI 1912526062

Doctor of Dental Surgery, Doctor of Medicine (M.D.)

Dr. Joyce Nimmo , DMD

Dentist - General Practice

NPI 1962137356

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 August 25, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2025

Registered at 4722 FAUNTLEROY WAY SW STE A, SEATTLE, WA 981164667 (Tel: 2067528761)

📍
Updated Business Mailing Address August 25, 2025

Registered at 10725 MARLBOROUGH RD, FAIRFAX, VA 220322223 (Tel: 5717307961)

👤
Provider Name / Credentials Updated August 25, 2025

Recorded as JACOB LEE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2025

Dentist (License #70023720 in WA)

🟢
Initial NPI Registration & Enumeration August 19, 2025

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: 1053298208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2025
Last Update: August 25, 2025
Sole Proprietor: No

Mailing Address

10725 Marlborough Rd

Fairfax, VA 220322223

Phone: 5717307961

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.