OrganizationActive
Wonjoo Lee, DDS, Inc.
NPI 1508137142 · Dentist · Oakland, CA
Provider details
- NPI number
- 1508137142
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Wonjoo Lee, President(510) 208-3012
- License
- 49923 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3540 Grand Ave
Suite 100
Oakland, CA 94610-2010
Phone: (510) 208-3012
Fax: (510) 208-4524
Street-level locationGet directions
Mailing address
3540 Grand Ave
Oakland, CA 94610-2010
Other names (DBA / former)
- Doing business as
- Grand Lake Dental
Registry dates
- Enumerated
- 2012-01-12
- Last updated
- 2012-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.