Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LEE MCLEAN WHITESIDES, DMD
Active Sole ProprietorDR. LEE MCLEAN WHITESIDES, DMD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in EATONTON, Georgia. NPI 1134123524 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · EATONTON, GA
Registration Details
- NPI Number
- 1134123524
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2005 (21.20023889183 yrs)
- Last Updated
- Jun 29, 2023
- Licenses
-
DN001123 (GA)DNO11123 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1097 LAKE OCONEE PKWY STE 101EATONTON, GA, 310249510Browse GA providers · Browse ZIP 31024
- Phone
- 7069164764
- Fax
- 7064540088
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.