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.
Healthcare Provider's Profile
Full Name | Sunny Jisun Lee |
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Gender | Female |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
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Location | 2821 S Webster Ave, Allouez, Wisconsin |
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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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