DR. SOONJAE JOSEPH LEE (NPI# 1336532712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336532712 |
| Entity Type | Individual |
| Full Name | DR. SOONJAE JOSEPH LEE |
| Credential | D.M.D. |
| Practice Address |
1710 E Lancaster Ave # 311 Paoli PA 19301-1507 |
| Practice Telephone | 2672705658 |
| Mailing Telephone | 2672705658 |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2018-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
22DI02659400 | NJ | Dental Providers |
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
DS040281 | PA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 King of Prussia Rd, Suite 650, Radnor, PA 190875147 | 2672705658 |
| Street Address |
1710 E LANCASTER AVE # 311 |
| City | PAOLI |
| State | PA |
| Zip Code | 19301-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
| 1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
| 1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
| 1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
| 1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
| 1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
| Find all providers in zip 19301 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174188486 | Day Dental Anesthesia | Dentist | 2636 Killen School Road, Nicktown, PA 15762 | 2019-05-02 |
| 1487172359 | Kiddos PC | Dentist | 6583 State Route 819 S Ste 1, Mt Pleasant, PA 15666-3503 | 2017-08-31 |
| 1285047431 | Premiere Anesthesia for Dentistry | Dentist | 106 Village Pl, Wexford, PA 15090-5611 | 2014-06-05 |
| 1215379060 | Christopher Gushue | Dentist | 2804 Ledge Dr, Clarks Summit, PA 18411-9573 | 2013-07-22 |
| 1386089431 | Breanna M Weiland | Dentist | 549 Ridge Rd, Nicktown, PA 15762-8605 | 2013-05-02 |
| 1083792634 | Jeffrey William Martz | Dentist | 10154 Woodbury Dr, Wexford, PA 15090-9580 | 2006-11-01 |
| 1619910270 | Lawson Alan Wilkinson | Dentist | 2 Parkway Ctr, Suite G-1, Pittsburgh, PA 15220-3510 | 2006-06-13 |
| 1114982873 | Thomas Frank Cwalina | Dentist | 257 Pittsburgh Rd, Butler, PA 16002-3953 | 2006-04-18 |
| 1356956023 | Pennsylvania Mobile Anesthesia Associates, LLC | Dentist | 234 S Main St, Slippery Rock, PA 16057-1247 | 2020-09-10 |
| 1952929853 | Christopher L Lewis Dmd | Dentist | 159 Dutch Rd, Harmony, PA 16037-9215 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
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| 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.