Seongnoh Lee, in Hackensack, NJ - Medicare Oral Surgery Provider

Seongnoh Lee, is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Hackensack, New Jersey. He went to University Of Detroit Mercy School Of Dentistry and graduated in 2021 and has 5 years of diverse experience with area of expertise as Oral Surgery. His current practice location is 20 Prospect Ave Ste 719, Hackensack, New Jersey. You can reach out to his office (for appointments etc.) via phone at (551) 996-5002.

Seongnoh Lee is licensed to practice in New Jersey (license number 22DI03073000) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1164007092.

Contact Information

	Seongnoh Lee,
	20 Prospect Ave Ste 719, Hackensack, NJ 07601-1974
	(551) 996-5002
	(551) 996-5099

Map and Direction

Healthcare Provider's Profile

Full Name	Seongnoh Lee
Gender	Male
Speciality	Oral Surgery
Experience	5 Years
Location	20 Prospect Ave Ste 719, Hackensack, New Jersey
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Seongnoh Lee attended and graduated from University Of Detroit Mercy School Of Dentistry in 2021

NPI Data:

NPI Number: 1164007092
Provider Enumeration Date: 03/11/2021
Last Update Date: 03/12/2026

Medicare PECOS Information:

PECOS PAC ID: 0648652198
Enrollment ID: I20260612001938

Medical Identifiers

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

Identifier	Type	State	Issuer
1164007092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	22DI03073000 (New Jersey)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Seongnoh Lee is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Seongnoh Lee, 1441 N 12th St Fl 3, Phoenix, AZ 85006-2837 Ph: () -	Seongnoh Lee, 20 Prospect Ave Ste 719, Hackensack, NJ 07601-1974 Ph: (551) 996-5002

Reviews and Comments

Dentist in Hackensack, NJ

Laura E Matos Garabitos, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-3492
Dr. Ching Shieh, Dentist Medicare: Not Enrolled in Medicare Practice Location: 211 Essex St, Suite 105, Hackensack, NJ 07601 Phone: 201-342-8999
Dr. Robert A Jaffin, DMD Dentist Medicare: Medicare Enrolled Practice Location: 274 State St, Hackensack, NJ 07601 Phone: 201-489-5155 Fax: 201-342-7367
Keri Forker, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-5593
Virginia Saliba, Dentist Medicare: Not Enrolled in Medicare Practice Location: 35 Pangborn Place, Hackensack, NJ 07601 Phone: 201-488-8866 Fax: 201-488-7663
Sudipta Saxena, DDS Dentist Medicare: Medicare Enrolled Practice Location: 248 1st St, Hackensack, NJ 07601 Phone: 201-883-1886
Dr. Adrian Rivera, Dentist Medicare: Not Enrolled in Medicare Practice Location: 885 Main St, Hackensack, NJ 07601 Phone: 201-343-4233

Seongnoh Lee, - Medicare Dentist in Hackensack, NJ