Dr. Su-Chun Yi, D.D.S.
Dentist, General Practice in Wake Forest, NC. Individual provider (NPI-1).
NPI number1497982284
StatusActive
Last updated in NPPESFeb 3, 2016
Details
- NPI
- 1497982284
- Entity type
- Individual (NPI-1)
- Name
- Dr. Su-Chun Yi
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2009
- Last updated
- Feb 3, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 8794 | NC | Yes |
| 122300000X | Dentist | 8794 | NC |
Other names
- Chris Su-Chun Lee (Professional Name)
Practice location
3415 Rogers Rd.Suite 100
Wake Forest, NC 27587
Phone 919-554-9955 · Fax 919-554-9933
Mailing address
8470 Falls Of Neuse RdSuite 202
Raleigh, NC 27615
Phone 919-977-0627 · Fax 919-977-4079
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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