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Active NPI 1427304153 Individual Practitioner Male Practitioner

Dr. Kwansoo Lee , DDS

Dentist • Spanaway, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kwansoo Lee, DDS is a registered healthcare professional specializing in Dentist in Spanaway, WA. Practice services are available at 20709 MOUNTAIN HWY E STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20709 Mountain Hwy E Ste 101

Spanaway, WA 983878580

Telephone 2069480879

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Spanaway, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Spanaway, WA (2853 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: 2020-11-11
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE60293904

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

1 Associated Practitioners
NPI 1972038420

Doctor of Dental Medicine

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active May 10, 2017

NPI status registered as active in NPPES database

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Updated Practice Location May 10, 2017

Registered at 20709 MOUNTAIN HWY E STE 101, SPANAWAY, WA 983878580 (Tel: 2069480879)

📍
Updated Business Mailing Address May 10, 2017

Registered at 20709 MOUNTAIN HWY E STE 101, SPANAWAY, WA 983878580 (Tel: 2069480879)

👤
Provider Name / Credentials Updated May 10, 2017

Recorded as KWANSOO LEE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2017

Dentist (License #DE60293904 in WA)

NPI Profile Active July 31, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2012

Registered at 1418 164TH ST SW, SUITE 100, LYNNWOOD, WA 980878500 (Tel: 4257428828)

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Updated Business Mailing Address July 31, 2012

Registered at 1903 NE 85TH ST, APT. 204, SEATTLE, WA 981158203 (Tel: 2064148983)

👤
Provider Name / Credentials Updated July 31, 2012

Recorded as KWANSOO LEE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2012

Dentist (License #DE60293904 in WA)

🟢
Initial NPI Registration & Enumeration July 31, 2012

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: 1427304153
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2012
Last Update: November 11, 2020
Sole Proprietor: Yes

Mailing Address

20709 Mountain Hwy E Ste 101

Spanaway, WA 983878580

Phone: 2069480879

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.