MEDICARE: DR. SUHO LEE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	22D102291600	NJ

General Provider Information

NPI Number	:	1003828732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUHO LEE DDS

Provider Business Mailing Address
First Line	:	24171 OAK PARK DR
Second Line	:
City	:	DOUGLASTON
State	:	NY
Zip	:	11362-2619
Country	:	US
Telephone Number	:	917-902-0895
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 W PASSAIC ST
Second Line	:
City	:	MAYWOOD
State	:	NJ
Zip	:	07607-1264
Country	:	US
Telephone Number	:	201-843-4800
Fax Number	:	201-843-4773

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1992709430 — DR. MARK R. WEINSTOCK DPM, CWS
Practice Location Address:

240 W PASSAIC ST , SUITE 4
MAYWOOD, NJ
07607-1264

Practice Phone: 201-880-6000
Practice Fax: 201-880-5999

1063417491 — DR. ISA SCHWARZBERG DPM
Practice Location Address:

240 W PASSAIC ST , SUITE 4
MAYWOOD, NJ
07607-1264

Practice Phone: 201-880-6000
Practice Fax: 201-880-5999

1891809000 — MS. UNE-HI SONG M.S., L.AC.
Practice Location Address:

240 W. PASSAIC ST , STE 8
MAYWOOD, NJ
07607-1264

Practice Phone: 551-800-1590
Practice Fax:

1275643033 — DR. MARTHA LEWYCKY DMD
Practice Location Address:

240 W PASSAIC ST
MAYWOOD, NJ
07607-1264

Practice Phone: 201-843-4800
Practice Fax:

1932284288 — DENTAL ARTS OF MAYWOOD, LLP
Practice Location Address:

240 W PASSAIC ST
MAYWOOD, NJ
07607-1264

Practice Phone: 201-843-4800
Practice Fax: 201-843-4773

1558514869 — LAKEYA SMITH CCC-SLP
Practice Location Address:

240 W PASSAIC ST STE 3
MAYWOOD, NJ
07607-1264

Practice Phone: 973-979-2331
Practice Fax:

Directions to “ DR. SUHO LEE DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.