Doctor profile · Federal record
Dr. Jaebum Lee, DDS, MSD, PHD
Periodontist · Coppell, TX
- NPI 1083921340
- 16 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
897 N Macarthur Blvd Ste 100
Coppell, TX 750192706
(972) 315-2345
Credentials & registration
- NPI registered
- September 2010 — 16 yrs on file
- Profile last updated
- March 30, 2023
- Specialty taxonomy
- 1223P0300X — NUCC code
- State license (1)
- Texas #29604
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083921340. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$77
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ivoclar Vivadent, INC. | 1 | $77.12 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
50
Patients
37
Total drug cost
$147
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 38 | 26 | $109 |
| Ibuprofen | Generic | 12 | 11 | $38 |
Frequently asked questions
What is Dr. Jaebum Lee's medical specialty?
Dr. Jaebum Lee practices Periodontist in Coppell, TX.
Where does Dr. Jaebum Lee practice?
Dr. Jaebum Lee practices at 897 N Macarthur Blvd Ste 100, Coppell, TX 750192706. Office phone: 9723152345.
What is Dr. Jaebum Lee's NPI?
Dr. Jaebum Lee's National Provider Identifier (NPI) is 1083921340, issued by NPPES.