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

Lisa Jungyoon Ha

Individual provider Dentist · NPI 1336831254

Lisa Jungyoon Ha is a Dentist in New York, New York. Licensed in California and Washington. Registered with an NPI since 2023.

Licensed in
CA, WA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

622 W 168th St
New York, NY 10032
Phone: (212) 305-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 112684 (CA)
Dentist Taxonomy 122300000X · Licence DR61671990 (WA)

Record details

NPI number1336831254
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

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