Jack Lester, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

010906 Issued in GA

Practice address

440 Flat Shoals Ave SE
Atlanta, GA 30316-1915

Phone

(404) 688-2223

Fax

(404) 688-6602

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Smdentalpc

  dba East Atlanta Family Dental

  • Exclusive Provider Organization
  • Atlanta, GA
  • NPI 1649678921
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1063599413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 FLAT SHOALS AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161915",
            "telephone_number": "404-688-2223",
            "fax_number": "404-688-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 FLAT SHOALS AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161915",
            "telephone_number": "404-688-2223",
            "fax_number": "404-688-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTER",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "010906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000438666A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Leslie
• Sade I Leslie
• Burton Lesnick, MD
• Adam M Lesser, MSW
• Heather Lessley, PAAA
• Jennifer Lester
• Karon L Lester
• Margaret Lester, MS, PA-C
• Simone Lester
• Renee Claire Lestrange, PH.D., LPC

• Dentist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.