DR. MOON SOO LEE (NPI# 1629189980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629189980 |
| Entity Type | Individual |
| Full Name | DR. MOON SOO LEE |
| Credential | DDS |
| Practice Address |
2397 Black Rock Tpke Fairfield CT 06825-3229 |
| Practice Telephone | 2033728961 |
| Practice Fax Number | 2033721948 |
| Mailing Telephone | 2033728961 |
| Mailing Fax Number | 2033721948 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7414 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649425208 | Moon W Lee | Pharmacist | 112 E 183 St., Recetas Pharmacy Inc., Bronx, NY 10453 | 2008-11-24 |
| 1235125956 | Moon H Lee | Pathology | 41 Davis Ave, Pathology Department, White Plains, NY 10605-1034 | 2005-09-27 |
| 1861540809 | Moon Soo Lee | Family Medicine | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| 1528072600 | Moon Lee | Psychologist | 1745 Broadway, 17 Fl, New York, NY 10019-4640 | 2006-07-27 |
| 1932121134 | Moon K Lee | Anesthesiology | 1 Riverview Plz, Red Bank, NJ 07701-1864 | 2006-07-24 |
| 1730109992 | Moon O Lee | Emergency Medicine | 300 Pasteur Dr, Alway Building M121, Palo Alto, CA 94305-2200 | 2006-07-20 |
| 1669467619 | Moon Hee Lee | Orthopaedic Surgery | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2005-09-15 |
| Street Address |
2397 BLACK ROCK TPKE |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-3229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| 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 |
|---|---|---|---|---|
| 1245876051 | Karun Kaushal | Dentist | 2432 Mainsail Ct, Fairfield, CA 94534-1784 | 2019-11-27 |
| 1063063469 | Krunali Kapadia | Dentist | 1325 Travis Blvd Ste D, Fairfield, CA 94533-4611 | 2019-09-26 |
| 1962050765 | Sasha Drexler Dentistry Pllc | Dentist | 1305 Post Rd Ste 200, Fairfield, CT 06824-6016 | 2019-08-27 |
| 1801441902 | Fairfield Dental Associates PC | Dentist | 1979 Post Rd, Fairfield, CT 06824-5723 | 2019-08-06 |
| 1184119224 | Judge Ct Dental PC | Dentist | 2209 Black Rock Tpke, Fairfield, CT 06825-3243 | 2018-06-29 |
| 1922513811 | S. Jang Dds Incorporated | Dentist | 1955 W Texas St Ste 2b, Fairfield, CA 94533-4462 | 2017-12-13 |
| 1174038327 | First Dental LLC | Dentist | 325 Reef Rd Ste 106, Fairfield, CT 06824-6537 | 2017-12-11 |
| 1104330455 | Christopher French Dds, Inc | Dentist | 3825 Kraus Ln Unit J, Fairfield, OH 45014-5866 | 2017-11-24 |
| 1235594474 | Laurel Santos | Dentist | 1402 Pennsylvania Ave, Fairfield, CA 94533-3507 | 2015-12-15 |
| 1184093445 | Alicia Marie Schexnayder | Dentist | 3332 N Texas St Ste C, Fairfield, CA 94533-9758 | 2015-09-17 |
| Find all providers in FAIRFIELD | ||||
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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.