Active NPI
Jessica Lee, DDS
- Dentist
- Brookhaven, GA
National Provider Identifier
1043528193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014152
- Practice address
- 3438 Clairmont Rd NE
Brookhaven, GA 30319-3720 - Phone
- (614) 832-8524
- NPI assigned
- Sep 22, 2010
- Last updated
- Oct 10, 2024
- Sex
- Female
- 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 | DN014152 | GA | Primary |
Addresses
Primary practice location
3438 Clairmont Rd NE
Brookhaven, GA 30319-3720
Mailing address
3438 Clairmont Rd NE
Brookhaven, GA 30319-3720
Phone (614) 832-8524
Other practice location 1
5040 Snapfinger Woods Dr Ste 203
Decatur, GA 30035-4020
Phone (770) 981-9700
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 |
|---|---|---|---|
| DN014152 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Dental Studio | Current | Accepting new patients | |
| Smith and Correll DDS PC | Past | Accepting new patients | |
| East Atlanta Dental | Past | Accepting new patients |
Locations
3438 Clairmont Rd NE
Brookhaven, GA 30319
Phone (614) 832-8524
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Brookhaven, GA
- NPI 1881312106
-
- Dental Clinic/Center
- Decatur, GA
- NPI 1891426367
-
- General Practice Dentistry
- Decatur, GA
- NPI 1356485098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1043528193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3438 CLAIRMONT RD NE",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303193720",
"telephone_number": "614-832-8524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3438 CLAIRMONT RD NE",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303193720",
"telephone_number": "614-832-8524"
}
],
"practiceLocations": [
{
"address_1": "5040 Snapfinger Woods Dr Ste 203",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300354020",
"country_code": "US",
"telephone_number": "770-981-9700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JESSICA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-22",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.