Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Su Ji Lee, DMD

Individual provider Dentist · NPI 1609092725

Dr. Su Ji Lee, DMD is a Dentist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

731 Duval Station Rd 115
Jacksonville, FL 32218
Phone: (904) 757-8089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 16560 (FL)

Record details

NPI number1609092725
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 17, 2007
Last updated in NPPESJuly 8, 2007
Mailing address731 Duval Station Rd, 115, Jacksonville, FL 32218

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