Dental Express

LBN: Jungwoo Lee
Dental Express is an health care organization with primary practice located at 7545 W Bell Rd Suite 105, Peoria AZ 85382-3832. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Jungwoo Lee can be contacted via phone (480) 233-2003, or through Lee, Jungwoo via phone (480) 233-2003.

Contact Information

Primary practice address
7545 W Bell Rd Suite 105 Peoria AZ 85382-3832
Phone: (480) 233-2003
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lee, Jungwoo Doctor of Dental Surgery (DDS)
Phone: (480) 233-2003

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X D008679 Arizona

Profile Details

NPI number 1760833958
LBN Legal business name Jungwoo Lee
DBA Doing business as Dental Express
Authorized official Lee, Jungwoo Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2016
Last updated Jun 29th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760833958 NPPES
Arizona MEDICAID 134238

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