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

Jung Jun Lee, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053011866

Jung Jun Lee, DMD is a Dentist in Saint Paul, Minnesota. Qualified in 2023, 3 years ago. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2023
Specialties on file
2
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

393 Dunlap St N Ste 308
Saint Paul, MN 55104-4223
Phone: (651) 493-1345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D15185 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053011866
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 9, 2023
Last updated in NPPESSeptember 8, 2024
Certification dateSeptember 8, 2024
Mailing address1959 Ne Pacific Street; Box 357134, Seattle, WA 98195

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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