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

Mr. Beom Young Lee, DMD

Individual provider Dentist · NPI 1366166621

Mr. Beom Young Lee, DMD is a Dentist in Manitowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2022.

Licensed in
WI
In the registry since
2022
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

2719 Calumet Ave
Manitowoc, WI 54220-5546
Phone: (920) 783-6633
Fax: (920) 783-6392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 23221-875 (WI)

Record details

NPI number1366166621
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 30, 2022
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 30, 2022
Mailing addressPo Box 959, Sheboygan, WI 53082-0959

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