Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mimi Joonyoung Lee, DDS, MD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1366604829

Mimi Joonyoung Lee, DDS, MD is an Oral and Maxillofacial Surgery (Dentist) in New York, New York. Practices as a sole proprietor. Licensed in Georgia and New York.

Licensed in
GA, NY
In the registry since
2008
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3915 Broadway
New York, NY 10032-1565
Phone: (212) 567-5536
Fax: (212) 202-6447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 056100-1 (NY)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 265566-1 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (GA)

Record details

NPI number1366604829
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS , MD
Sole proprietorYes
NPI enumeratedJune 26, 2008
Last updated in NPPESFebruary 25, 2016

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