Active NPI
Daniel Jin Lee, DMD
- Dentist
- Acworth, GA
National Provider Identifier
1043397805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN013434
- Practice address
- 4569 Dallas Street
Acworth, GA 30101 - Phone
- (770) 974-4146
- Fax
- (770) 974-4146
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN013434 | GA | Primary |
Addresses
Primary practice location
4569 Dallas Street
Acworth, GA 30101
Mailing address
8100 Saint Marlo Country Club Pkwy
Duluth, GA 30097-1625
Phone (770) 454-8432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN013434 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Lee DMD, PC | Dentist | Current | Accepting new patients |
| Morrison Dental Associates, P.C. | Dentist | Past | Accepting new patients |
Locations
4569 Dallas St
Acworth, GA 30101
Phone (770) 974-4146
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Acworth, GA
- NPI 1750714986
-
- Dentist
- Atlanta, GA
- NPI 1124255302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1043397805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 SAINT MARLO COUNTRY CLUB PKWY",
"city": "DULUTH",
"state": "GA",
"postal_code": "300971625",
"telephone_number": "770-454-8432",
"fax_number": "678-990-9799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4569 DALLAS STREET",
"city": "ACWORTH",
"state": "GA",
"postal_code": "30101",
"telephone_number": "770-974-4146",
"fax_number": "770-974-4146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DANIEL",
"middle_name": "JIN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN013434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.