Sunny Jisun Lee, DDS in Allouez, WI - Dentist

Sunny Jisun Lee, DDS is a Dentist - Orthodontics And Dentofacial Orthopedics based in Allouez, Wisconsin. Sunny Jisun Lee is licensed to practice in Wisconsin (license number 6000043-15) and her current practice location is 2821 S Webster Ave, Allouez, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 336-2299.

NPI number for Sunny Jisun Lee is 1720714454 and her current mailing address is 555 Main Ave Apt 210, De Pere, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720714454.

Contact Information

	Sunny Jisun Lee, DDS
	2821 S Webster Ave, Allouez, WI 54301-2878
	(920) 336-2299
	Not Available

Healthcare Provider's Profile

Full Name	Sunny Jisun Lee
Gender	Female
Speciality	Dentist - Orthodontics And Dentofacial Orthopedics
Location	2821 S Webster Ave, Allouez, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1720714454
Provider Enumeration Date: 07/26/2022
Last Update Date: 07/26/2022

Medical Identifiers

Medical identifiers for Sunny Jisun Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720714454	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	6000043-15 (Wisconsin)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sunny Jisun Lee is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sunny Jisun Lee, DDS 555 Main Ave Apt 210, De Pere, WI 54115-2235 Ph: (310) 944-1635	Sunny Jisun Lee, DDS 2821 S Webster Ave, Allouez, WI 54301-2878 Ph: (920) 336-2299

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Sunny Jisun Lee, DDS - Dentist in Allouez, WI