DR. JAE YONG LEE (NPI# 1285263012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285263012 |
| Entity Type | Individual |
| Full Name | DR. JAE YONG LEE |
| Credential | DMD PHD |
| Practice Address |
2702 Wilma Rudolph Blvd Clarksville TN 37040-6299 |
| Practice Telephone | 9312414635 |
| Mailing Telephone | 9312414635 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 11405 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336637586 | Jae Myung Lee | Counselor | 1166 S Elmhurst Rd, Mt Prospect, IL 60056-4241 | 2018-04-24 |
| 1477098887 | Jae Lee | Acupuncturist | 955 Armory Rd, Barstow, CA 92311-5461 | 2016-12-21 |
| 1346658192 | Jae Yong Lee | Dentist | 1111 River Road, G25, Edgewater, NJ 07020-1369 | 2014-07-24 |
| 1205241320 | Jae Lee | Acupuncturist | 12411 Osborne St, Unit 45, Pacoima, CA 91331-2000 | 2014-06-26 |
| 1386067155 | Jae S Lee | Acupuncturist | 14748 Roosevelt Ave Apt 1f, Flushing, NY 11354-4709 | 2014-01-29 |
| 1609217736 | Jae Bum Lee | Dentist | 401 S Glenoaks Blvd Ste 100, Burbank, CA 91502-2707 | 2013-07-17 |
| 1699026906 | Jae Hun Lee | Pharmacist | Providence St. Peter Hospital, 413 Lilly Road N.e., Department of Pharmacy, Olympia, WA 98506 | 2012-09-26 |
| 1306194279 | Jae Hun Lee | Acupuncturist | 1630 Pleasant Hill Rd Ste C2, Duluth, GA 30096-5899 | 2012-08-26 |
| 1629332812 | Jae Young Lee | Internal Medicine | 419 N. Harrison St, Princeton, NJ 08540-4089 | 2012-07-02 |
| 1366718934 | Jae Lee | Pharmacist | 25250 Pacific Highway S, Kent, WA 98032 | 2012-03-28 |
| Street Address |
2702 WILMA RUDOLPH BLVD |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-6299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306217773 | Orbie Ottey Jr. | Dentist | 2702 Wilma Rudolph Blvd, Clarksville, TN 37040-6299 | 2015-10-12 |
| 1053833509 | Joel Joseph | Dentist | 2702 Wilma Rudolph Blvd, Clarksville, TN 37040-6299 | 2017-07-16 |
| 1104347608 | Brittany Pidgeon | Dentist | 2702 Wilma Rudolph Blvd, Clarksville, TN 37040 | 2017-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851924369 | Renew Dental | Dentist | 1835 Madison St Ste A, Clarksville, TN 37043-6547 | 2020-02-13 |
| 1861057044 | Hodiah Dmd LLC | Dentist | 6100 Daylong Ln Ste 204, Clarksville, MD 21029-1655 | 2019-05-03 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1972064186 | Tania Faruqi | Dentist | 1777 Madison St Ste 100, Clarksville, TN 37043-4912 | 2019-03-29 |
| 1689176471 | Tiny Town Smiles Dentistry, PC | Dentist | 1466 Tiny Town Rd Ste A, Clarksville, TN 37042-8292 | 2018-03-07 |
| 1871095133 | Hnarakis Dental Pllc | Dentist | 894 Highway 76 Ste 105, Clarksville, TN 37043-5396 | 2018-03-02 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| 1154862035 | Rg Dental Jeffersonville LLC | Dentist | 1005 E Lewis and Clark Pkwy, Clarksville, IN 47129-2201 | 2017-03-13 |
| 1104362946 | Clarksville Modern Dentistry,pc | Dentist | 1777 Madison Ste Suite 100, Clarksville, TN 37043 | 2017-01-18 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on DR. JAE YONG 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.