Healthcare Provider Details

I. General information

NPI: 1790629509
Provider Name (Legal Business Name): ANNE MARIE SUN-YOUNG LEE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 E 3RD ST STE 260
BETHLEHEM PA
18015-2072
US

IV. Provider business mailing address

511 W PRATT ST APT 1508
BALTIMORE MD
21201-1665
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-2460
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: