Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB LEE, DMD, MD
ActiveJACOB LEE, DMD, MD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in FAYETTEVILLE, Georgia. NPI 1912438805 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1912438805
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2017 (9.3532986003941 yrs)
- Last Updated
- Aug 9, 2023
- Licenses
-
94785 (GA)DN122602 (GA)
Practice Information
- Address
-
1260 HIGHWAY 54 STE 200FAYETTEVILLE, GA, 302144513Browse GA providers · Browse ZIP 30214
- Phone
- 7704612101
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery (Physician) Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. DURWOOD M JOHNSON JR. | DMD | 1861505141 |
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.