DR. GI PPEUM LEE (NPI# 1770194870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770194870 |
| Entity Type | Individual |
| Full Name | DR. GI PPEUM LEE |
| Credential | DMD |
| Practice Address |
3111 E Calumet St Appleton WI 54915-4754 |
| Mailing Address |
3619 Cherryvale Ave Unit 7 Appleton WI 54913-8574 |
| Practice Telephone | 9207333339 |
| Mailing Telephone | 2153171216 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1002408-15 | WI | Dental Providers |
| Street Address |
3111 E CALUMET ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| 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 |
|---|---|---|---|---|
| 1497282321 | Logan Taylor Vanhoof | Dentist | 1033 W College Ave Ste 200, Appleton, WI 54914-5291 | 2017-05-23 |
| 1336599935 | Branden Goetsch | Dentist | 229 E Franklin St, Appleton, WI 54911-5434 | 2016-06-15 |
| 1073825246 | Rachel L Arts | Dentist | 5553 W Waterford Ln, Appleton, WI 54913-8468 | 2010-07-05 |
| 1417112335 | Timothy Jay Vosters | Dentist | 2214 E Evergreen Dr, Appleton, WI 54913-9002 | 2008-07-21 |
| 1962679050 | Richard Michael Merkhofer | Dentist | 224 W Calumet St, Appleton, WI 54915-4935 | 2008-05-08 |
| 1497976872 | J Scott Polzin | Dentist | 1425 E John St, Appleton, WI 54915-3468 | 2007-05-01 |
| 1144349580 | Peter D Hehli | Dentist | 5760 Grande Market Drive, Appleton, WI 54913 | 2007-03-28 |
| 1063540870 | Edward Mark Pflum | Dentist | 342 W Wisconsin Ave, Appleton, WI 54911-4340 | 2007-03-01 |
| 1588736649 | Jeffrey Gerald Romenesko | Dentist | 2510 E Evergreen Dr, Appleton, WI 54913-8904 | 2006-11-14 |
| 1962589721 | Jeffrey Alan Bell | Dentist | 2400 South Kensington Drive, 500, Appleton, WI 54915-4187 | 2006-11-01 |
| Find all providers in APPLETON | ||||
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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.