DR. WONSEOK LEE (NPI# 1841323672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841323672 |
| Entity Type | Individual |
| Full Name | DR. WONSEOK LEE |
| Other Name | BRANDON W LEE |
| Credential | DDS |
| Practice Address |
4444 W Northern Ave Suite A3 Glendale AZ 85301 |
| Practice Telephone | 6238421075 |
| Practice Fax Number | 6239315881 |
| Mailing Telephone | 6238421075 |
| Mailing Fax Number | 6239315881 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4338 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 135229 | 01 |
| BCBS DENTAL | AZ0489860 | 01 | |
| UNITED CONCORDIA | 197388 | 01 | |
| AETNA DENTAL | 533689 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689736258 | Wonseok Lee | Dentist | 4100 Montgomery Dr, Santa Rosa, CA 95405-5282 | 2006-12-13 |
| Street Address |
4444 W NORTHERN AVE SUITE A3 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093890980 | Melissa Lynn Wachowski | Counselor | 4444 W Northern Ave, Suite C-1, Glendale, AZ 85301-1683 | 2006-10-26 |
| 1942471081 | Sonia Cano | Counselor | 4444 W Northern Ave, Glendale, AZ 85301-1683 | 2008-03-17 |
| 1124174602 | Brandon W Lee Dds PC | Dentist | 4444 W Northern Ave, Suite A3, Glendale, AZ 85301 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164051900 | Stateserv Medical of Phoenix LLC | Durable Medical Equipment & Medical Supplies | 5234 W. Missouri, Glendale, AZ 85301 | 2020-04-03 |
| 1366988933 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5148 W. Frier Dr, Glendale, AZ 85301 | 2017-01-06 |
| 1306227830 | Sage Counseling, Inc. | Community/Behavioral Health | 6610 N. 47th Avenue, Suites 6, 7 & 8, Glendale, AZ 85301 | 2015-06-10 |
| 1477802023 | Lori Wyke | Specialist/Technologist | 7301 N. 58th Avenue, Glendale, AZ 85301 | 2012-08-29 |
| 1144581257 | Jerry Harold Brue | Pharmacist | 7772 N 52nd Dr, Glendale, AZ 85301 | 2012-06-05 |
| 1558632935 | Jasmine Rojas | Licensed Practical Nurse | 7301 N. 58th Ave., Glendale Elem. Dist 40, Glendale, AZ 85301 | 2012-01-18 |
| 1184950438 | Victoria Joan Petti | Physical Therapist | 5125 N. 58th Ave, Glendale, AZ 85301 | 2009-10-21 |
| 1598907479 | Westside Speech & Language Services | Clinic/Center | 7415 N. 59th Ave, Glendale, AZ 85301 | 2009-03-24 |
| 1992940241 | Lorraine Pimentel Montes | Specialist | 4441 W. Bethany Home Rd, Glendale, AZ 85301 | 2008-12-15 |
| 1770739922 | Patricia Lee Click | Social Worker | 5400 W. Northern Avenue, Suite 120, Glendale, AZ 85301 | 2008-08-07 |
| Find all providers in zip 85301 | ||||
| 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 |
|---|---|---|---|---|
| 1902412935 | Mana Khajavi | Dentist | 333 Milford St Unit 105, Glendale, CA 91203-2080 | 2020-09-15 |
| 1538783360 | Madison Kurz | Dentist | 5757 W Thunderbird Rd Ste W300, Glendale, AZ 85306-5605 | 2020-06-08 |
| 1770107252 | Garabedian Dental Group Inc | Dentist | 1055 Ruberta Ave Apt 1, Glendale, CA 91201-2195 | 2020-06-01 |
| 1447806997 | Tamarra Kalamchi | Dentist | 7071 N 138th Ave Bldg 1540, Glendale, AZ 85307-2006 | 2019-08-12 |
| 1073177820 | Arakelyan Professional Dental Inc | Dentist | 617 E Colorado St, Glendale, CA 91205-1709 | 2019-04-26 |
| 1316415086 | Igor Sulim Jr. | Dentist | 2300 W Good Hope Rd Unit 337, Glendale, WI 53209-2749 | 2018-11-10 |
| 1518434869 | Dentists of North Glendale, LLP | Dentist | 5890 W Bell Rd Ste 102, Glendale, AZ 85308-3884 | 2018-10-25 |
| 1245705888 | Anahid Acopian Dds, Inc. | Dentist | 1122 N Brand Blvd Ste 202, Glendale, CA 91202-2573 | 2018-10-10 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1821586249 | Angineh Hovasapian | Dentist | 461 W California Ave Apt 8, Glendale, CA 91203-2183 | 2018-05-01 |
| Find all providers in GLENDALE | ||||
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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.