Individual provider · Type 1 NPI
Jiyoung Elizabeth Lee, DMD
Pediatric Dentistry · Gresham, OR
NPI number
1477567154
Active
Practice location
831 NW Council Dr Ste 210
Gresham, OR 97030-3724
Fax (503) 912-0757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | 20808 (MA) |
| Pediatric Dentistry Primary | 1223P0221X | D8776 (OR) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Gresham
- Frank James Foreman, DDSPediatric Dentistry Gresham, OR NPI 1013015452
- John H. Frick DMD PC, DMDPediatric Dentistry Gresham, OR NPI 1215926720
- Douglas Lee Park, DDSPediatric Dentistry Gresham, OR NPI 1366521122
- Kristina Tee, DDSPediatric Dentistry Gresham, OR NPI 1780924951
- Xue ZhaoPediatric Dentistry Gresham, OR NPI 1992259048
About NPI 1477567154
Jiyoung Elizabeth Lee, DMD's National Provider Identifier is 1477567154, issued on Jul 28, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Gresham, OR. The record was last updated on Jun 15, 2020.