Individual Healthcare Provider
Seongnoh Lee
Provider's NPPES record last updated: March 12, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1164007092
- Primary Specialty
- Dentist — Oral and Maxillofacial Surgery
- Practice Location
- Hackensack, New Jersey
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 1:08 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
Oral and Maxillofacial Surgery
Dental Providers
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Taxonomy code 1223S0112X Student in an Organized Health Care Education/Training Program
Student, Health Care
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Taxonomy code 390200000X
Provider-Reported License Information
- Dentist (New Jersey)
- 22DI03073000
Practice Locations
Practice Location
20 Prospect Ave Ste 719
Hackensack, New Jersey 07601-1974
Phone: (551) 996-5002
Additional Practice Location
1441 N 12th St Fl 3
Phoenix, Arizona 85006-2837
Phone: (602) 521-5977
Additional Practice Location
110 Bergen St
Newark, New Jersey 07103-2495
Phone: (973) 972-4242
Additional Practice Location
102 James St Ste 201
Edison, New Jersey 08820-3970
Phone: (551) 996-5002
Fax: (551) 996-5099
Record Information
- Enumeration Date
- March 11, 2021
- Provider's NPPES Record Last Updated
- March 12, 2026
- Certification Date
- March 12, 2026
- NPISignal NPPES Dataset
- August 2026
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