So Jung Lee, D.M.D.
NPI 1821612904 · General Practice Dentistry · Centreville, VA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
So Jung Lee, D.M.D. is a General Practice Dentistry provider in Centreville, VA (NPI 1821612904).
Provider details
- NPI number
- 1821612904
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 30.026164 (OH)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Registry dates
- Enumerated
- 2020-06-03
- Last updated
- 2022-04-22
- Certified
- 2022-04-22
Frequently asked questions
- What is So Jung Lee's NPI number?
- So Jung Lee's National Provider Identifier (NPI) is 1821612904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is So Jung Lee's specialty?
- So Jung Lee is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is So Jung Lee located?
- So Jung Lee's practice location on file with NPPES is 13880 Braddock Rd Ste 109, Centreville, VA 20121-2460.
- What is So Jung Lee's phone number?
- The practice phone number listed in the NPPES registry for So Jung Lee is (703) 830-9990.
- Does So Jung Lee accept Medicare?
- So Jung Lee is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is So Jung Lee's NPI active?
- Yes — So Jung Lee's NPI (1821612904) is active in the NPPES registry as of the last update on 2022-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.