Mr. Beom Young Lee is a Manitowoc, Wisconsin based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mr. Beom Young Lee is
23221-875 for Dentistry in Wisconsin. His current practice location is
2719 Calumet Ave, Manitowoc. Patients can reach him at
920-783-6633.
Mr. Beom Young Lee is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mr. Beom Young Lee speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mr. Beom Young Lee |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2719 Calumet Ave, Manitowoc,
Wisconsin, 54220-5546 |
| Phone: | 920-783-6633 |
| Fax: | 920-783-6392 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1366166621 |
| NPI Enumeration Date: | 30 Sep, 2022 |
| NPI Last Update On: | 30 Sep, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Beom Young Lee are as mentioned below.
| License Number | Specialization | State | Status | |
| 23221-875 | Dentistry | Wisconsin | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Beom Young Lee such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 23221-875 | Other | Wisconsin | WI STATE TEMP LICENSE |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 959,
Sheboygan, Wisconsin |
| Zip: | 53082-0959 |
| Phone Number: | 920-783-6633 |
| Fax Number: | 920-783-6392 |
Patients can reach Mr. Beom Young Lee at
2719 Calumet Ave, Manitowoc, Wisconsin or can
call to book an appointment on 920-783-6633.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.