Provider Demographics
NPI:1497327209
Name:LEE, MATTHEW HYUN YONG (DDS)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:HYUN YONG
Last Name:LEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 KINGSWOOD DR APT F
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-9476
Mailing Address - Country:US
Mailing Address - Phone:704-989-3586
Mailing Address - Fax:
Practice Address - Street 1:3500 N DUKE ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-1707
Practice Address - Country:US
Practice Address - Phone:984-439-1685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC123731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice