Individual provider · Type 1 NPI

Jaebum Lee, DDS, MSD, PhD

Periodontics · Coppell, TX

NPI number 1083921340 Active

Practice location

897 N Macarthur Blvd Ste 100
Coppell, TX 75019-2706

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X29604 (TX)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1083921340

Jaebum Lee, DDS, MSD, PhD's National Provider Identifier is 1083921340, issued on Sep 8, 2010. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Coppell, TX. The record was last updated on Mar 30, 2023.