DR. MARY MINYOUNG LEE (NPI# 1245589936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245589936 |
| Entity Type | Individual |
| Full Name | DR. MARY MINYOUNG LEE |
| Credential | D.M.D. |
| Practice Address |
2455 Jefferson Blvd Ste 130 West Sacramento CA 95691-5328 |
| Mailing Address |
2417 Gunn Rd Carmichael CA 95608-5024 |
| Practice Telephone | 9163728062 |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2015-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
61867 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1578055208 | Mary Lee | Counselor | 81 Dabner St, San Leandro, CA 94577-1423 | 2018-05-30 |
| 1932606068 | Mary Alice Lee | Social Worker | 11380 S Virginia St Apt 1834, Reno, NV 89511-8263 | 2018-04-05 |
| 1114448065 | Mary Lee | Speech-Language Pathologist | 1276 S Main St, Cave Springs, AR 72718 | 2017-06-30 |
| 1437691391 | Mary Lee | Acupuncturist | 21 Grand Ave # 1f, Suite 516, Palisades Park, NJ 07650-1076 | 2016-11-09 |
| 1457706053 | Mary To Lee | Counselor | 3800 Arco Corporate Dr Ste 320, Charlotte, NC 28273-3411 | 2016-05-02 |
| 1316315286 | Mary Lee | Registered Nurse | 1560 Oak View Ave, Kensington, CA 94706-1459 | 2015-09-09 |
| 1609280064 | Mary Frances Lee | Counselor | 236 S Pattie Ave, Wichita, KS 67211-1719 | 2014-06-13 |
| 1467704882 | Mary Regina Lee | Licensed Practical Nurse | 310 Se Brown St, Lake City, FL 32025-5956 | 2012-10-09 |
| 1558610444 | Mary Gray Lee | Dentist | 6080 Falls Road, Suite 202, Baltimore, MD 21209 | 2012-09-06 |
| Street Address |
2455 JEFFERSON BLVD STE 130 |
| City | WEST SACRAMENTO |
| State | CA |
| Zip Code | 95691-5328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942828546 | Dominique S Pham | Dentist | 2455 Jefferson Blvd Ste 130, West Sacramento, CA 95691-5328 | 2020-07-09 |
| 1992293054 | Sarah Vu | Dentist | 2455 Jefferson Blvd Ste 130, West Sacramento, CA 95691 | 2018-04-24 |
| 1265957716 | Denise Lopez | Dentist | 2455 Jefferson Blvd Ste 130, West Sacramento, CA 95691-5328 | 2017-08-06 |
| 1982133385 | Stephen Cheung | Dentist | 2455 Jefferson Blvd Ste 130, West Sacramento, CA 95691-5328 | 2017-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298545 | Breanna Lenae Garcia | Registered Nurse | 980 Central Street, Apartment 312, West Sacramento, CA 95691 | 2019-07-26 |
| 1093192650 | Heliodoro Magana | Physician Assistant | 2901 Colleent Court, West Sacramento, CA 95691 | 2015-05-04 |
| 1699187823 | Eugene Louis | Pharmacist | 1601 1/2 West Capital Ave., West Sacramento, CA 95691 | 2014-05-22 |
| 1184874026 | Dental Corporation of Amardeep Gill Dds | Dentist | 2455 Jefferson Blvd, Suite 130, West Sacramento, CA 95691 | 2008-09-29 |
| 1487784328 | Sidney Bahr Freeman | Dentist | 820 Westacre Rd, West Sacramento, CA 95691 | 2007-03-07 |
| 1073671038 | Tari Leanne Tribble | Physician Assistant | 2101 Stone Blvd #190, West Sacramento, CA 95691 | 2006-12-04 |
| 1942375068 | Yuly Vilderman Dds A Dental Corporation | Dentist | 825 Harbor Blvd, West Sacramento, CA 95691 | 2006-11-22 |
| 1760569537 | Elizabeth Barber | Marriage & Family Therapist | 1250 Harbor Blvd #600, Telecare Yolo Strides, West Sacramento, CA 95691 | 2006-11-01 |
| 1831207059 | Norman Gary Larsen | Physical Therapist | 3680 Industrial Blvd, #550h Us Health Works Med Group, West Sacramento, CA 95691 | 2006-08-28 |
| 1093790305 | Nancy Warden | Pediatrics | 1276 Halyard Dr, West Sacramento, CA 95691 | 2005-12-08 |
| Find all providers in zip 95691 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639404981 | Louis Dang | Dentist | 2050 Town Center Plz, B120, West Sacramento, CA 95691-4959 | 2009-10-05 |
| 1184874026 | Dental Corporation of Amardeep Gill Dds | Dentist | 2455 Jefferson Blvd, Suite 130, West Sacramento, CA 95691 | 2008-09-29 |
| 1477758167 | Phuong Lien Ngo | Dentist | 1001 Jefferson Blvd Ste 300, West Sacramento, CA 95691-3387 | 2007-06-20 |
| 1124247085 | Archana V Wakode | Dentist | 821 Jefferson Blvd Ste 260, West Sacramento, CA 95691-3205 | 2007-04-25 |
| 1487784328 | Sidney Bahr Freeman | Dentist | 820 Westacre Rd, West Sacramento, CA 95691 | 2007-03-07 |
| 1265590145 | Gordon Lee | Dentist | 1029 Jefferson Blvd Ste C, West Sacramento, CA 95691-3344 | 2006-12-04 |
| 1942375068 | Yuly Vilderman Dds A Dental Corporation | Dentist | 825 Harbor Blvd, West Sacramento, CA 95691 | 2006-11-22 |
| 1992761100 | Dick Cheung Huang | Dentist | 1102 Jefferson Blvd, Suite A, West Sacramento, CA 95691-3305 | 2006-04-25 |
| 1992293054 | Sarah Vu | Dentist | 2455 Jefferson Blvd Ste 130, West Sacramento, CA 95691 | 2018-04-24 |
| 1265957716 | Denise Lopez | Dentist | 2455 Jefferson Blvd Ste 130, West Sacramento, CA 95691-5328 | 2017-08-06 |
| Find all providers in WEST SACRAMENTO | ||||
| City | WEST SACRAMENTO |
| Zip Code | 95691 |
Please comment or provide details below to improve the information on DR. MARY MINYOUNG LEE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.