Lee, Sangyoon

Lee, Sangyoon is an sole proprietor health care provider with primary practice located at 3619 Park East Dr Ste 312 , Beachwood OH 44122-4312. He recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Lee, Sangyoon can be contacted via phone (216) 245-7543.

Contact Information

Primary practice address
3619 Park East Dr Ste 312 Beachwood OH 44122-4312
Phone: (216) 245-7543
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 21847 Ohio
Dental Providers / General Practice 1223G0001X 21847 Ohio

Profile Details

NPI number 1801903810
LBN Legal business name Lee, Sangyoon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated Feb 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801903810 NPPES
Ohio MEDICAID 2541646

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