Provider Demographics
NPI:1770216996
Name:JEE, SANGYOON (DMD)
Entity type:Individual
Prefix:DR
First Name:SANGYOON
Middle Name:
Last Name:JEE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 NORTHWEST HWY APT 2508
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-4239
Mailing Address - Country:US
Mailing Address - Phone:410-269-3204
Mailing Address - Fax:
Practice Address - Street 1:6250 RUFE SNOW DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76148-3315
Practice Address - Country:US
Practice Address - Phone:410-269-3204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-05
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX384631223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist