DR. SOOJIN LEE (NPI# 1417132648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417132648 |
| Entity Type | Individual |
| Full Name | DR. SOOJIN LEE |
| Credential | DDS |
| Practice Address |
16455 Main St Ste 17 Hesperia CA 92345-3554 |
| Practice Telephone | 7602446077 |
| Practice Fax Number | 7602448345 |
| Mailing Telephone | 7602446077 |
| Mailing Fax Number | 7602448345 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
56284 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912487612 | Soojin Lee | Chiropractor | 201 Farm Ln, Doylestown, PA 18901 | 2018-08-21 |
| 1730675505 | Soojin Lee | Dentist | 205 Waynesville Plz, Waynesville, NC 28786-5765 | 2018-07-05 |
| Street Address |
16455 MAIN ST STE 17 |
| City | HESPERIA |
| State | CA |
| Zip Code | 92345-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740377126 | Brenda Louise Kueckels | Dentist | 16455 Main St, #17, Hesperia, CA 92345-3554 | 2006-10-06 |
| 1205336963 | Irina M Jovel | Nurse Practitioner | 16455 Main St, Hesperia, CA 92345-3554 | 2018-02-19 |
| 1255587549 | Dustin Wong | Internal Medicine | 16455 Main St, Suite 1, Hesperia, CA 92345-3554 | 2008-08-18 |
| 1174735179 | Cox Dental Corporation | Dentist | 16455 Main St, Hesperia, CA 92345-3554 | 2007-05-04 |
| 1962520452 | Ana Raluca Platon | Dentist | 16455 Main St, Ste. 17, Hesperia, CA 92345-3554 | 2007-03-26 |
| 1205997947 | Hesperia La Salle Pharmacy | Pharmacy | 16455 Main St, #8, Hesperia, CA 92345 | 2006-12-13 |
| 1639267966 | Cheryl Ann Emoto | Pediatrics | 16455 Main St, Hesperia, CA 92345-3554 | 2006-10-11 |
| 1609964121 | Felix Albano | Internal Medicine | 16455 Main St, Hesperia, CA 92345-3554 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881467 | Leslie Guzman | Behavioral Analyst | 6700 Newhall Ave, Hesperia, CA 92345 | 2020-08-14 |
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1760901383 | Lindsey Kathleen Dunnagan | Counselor | 16501 Walnut Street, Suite 12, Hesperia, CA 92345 | 2017-09-14 |
| 1356869374 | Deborah Irene Freeman | Nurse Practitioner | 15398 Main Street Suite A, Hesperia, CA 92345 | 2017-08-30 |
| 1902260151 | Serge Bronstein | Counselor | 16808 Main St., D-154, Hesperia, CA 92345 | 2016-04-13 |
| 1366815805 | Caremore Health Plan | Nurse Practitioner | 17085 Main Street, Hesperia, CA 92345 | 2015-11-05 |
| 1174928402 | Jennifer Cathrin Bayle | Counselor | 17130 Sequoia St, Suite 106, Hesperia, CA 92345 | 2014-10-29 |
| 1447654256 | Diana Grace Chilstrom | Marriage & Family Therapist | 11776 Mariposa Road, Hesperia, CA 92345 | 2014-10-22 |
| 1639597545 | Adrianna Ebony Williams | Physical Therapy Assistant | 8939 11th Ave, Hesperia, CA 92345 | 2014-03-29 |
| 1477974426 | Aja Stoll | Case Manager/Care Coordinator | 9655 Ninth Ave, Hesperia, CA 92345 | 2013-12-18 |
| Find all providers in zip 92345 | ||||
| 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 |
|---|---|---|---|---|
| 1790302784 | Feldkamp Cal Select Dental Group, Inc. | Dentist | 15743 Main St, Hesperia, CA 92345-3410 | 2020-06-25 |
| 1295289239 | Sungjo J Choi | Dentist | 12051 Mariposa Rd Ste A, Hesperia, CA 92345-1613 | 2016-08-08 |
| 1871964056 | Javid Pour-ghasemi | Dentist | 8981 Grapefruit Ave, Hesperia, CA 92345-6514 | 2015-10-13 |
| 1023415130 | Tien T. Lam, Dds, Inc. | Dentist | 17137 Main St, Hesperia, CA 92345-6004 | 2014-12-04 |
| 1215216213 | Meenakshi Salwan | Dentist | 15398 Main St Ste A, Hesperia, CA 92345-3391 | 2011-08-08 |
| 1578860144 | Stromberg Dental Corporation | Dentist | 16868 Main St, Hesperia, CA 92345-6030 | 2011-02-17 |
| 1255667382 | Nhien Luu, D.d.s., Inc. | Dentist | 14466 Main St, Suite B107, Hesperia, CA 92345-4664 | 2009-10-24 |
| 1083847487 | Steven James Dombrady | Dentist | 18215 Bear Valley Rd, Hesperia, CA 92345-4922 | 2009-09-01 |
| 1225282494 | Dental Corporation of Louis Stromberg Dds | Dentist | 12821 Main St, Suite 150, Hesperia, CA 92345-9126 | 2008-11-13 |
| 1205034626 | Katherine Loye | Dentist | 15555 Main St Ste C3, Hesperia, CA 92345-3423 | 2007-07-06 |
| Find all providers in HESPERIA | ||||
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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.