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Active NPI 1366166621 Individual Practitioner Male Practitioner

Dr. Beom Young Lee , DMD

Dentist • Manitowoc, WI

Professional Overview & Biography Verified Profile Summary

Dr. Beom Young Lee, DMD is a registered healthcare professional specializing in Dentist in Manitowoc, WI. Practice services are available at 2719 CALUMET AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2719 Calumet Ave

Manitowoc, WI 542205546

Telephone 9207836633
Fax 9207836392
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Manitowoc, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
20 Specialists

Practicing in Manitowoc, WI (1850 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: 2022-09-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WI 23221-875

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Wi State Temp License
23221-875 (WI)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Cynthia Baus , RDH

Dental Hygienist

NPI 1003453564

Registered Dental Hygienist

Erin Meyer

Social Worker - Clinical

NPI 1023727559
Angelique Dambruch , LPC

Counselor - Professional

NPI 1043145113

Licensed Professional Counselor

NPI 1043733447

Doctor of Pharmacy (Pharm.D.)

Curtis Spaulding , RDH

Dental Hygienist

NPI 1053827253

Registered Dental Hygienist

Cheryl Van Ells

Dental Hygienist

NPI 1083137723

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 30, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 30, 2022

Registered at 2719 CALUMET AVE, MANITOWOC, WI 542205546 (Tel: 9207836633)

📍
Updated Business Mailing Address September 30, 2022

Registered at PO BOX 959, SHEBOYGAN, WI 530820959 (Tel: 9207836633)

👤
Provider Name / Credentials Updated September 30, 2022

Recorded as BEOM YOUNG LEE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2022

Dentist (License #23221-875 in WI)

🟢
Initial NPI Registration & Enumeration September 30, 2022

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: 1366166621
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2022
Last Update: September 30, 2022
Sole Proprietor: No

Mailing Address

Po Box 959

Sheboygan, WI 530820959

Phone: 9207836633

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.