Active NPI
Joshua Lee, DDS
- General Practice Dentistry
- Lawrenceville, GA
National Provider Identifier
1124179742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN013360
- Practice address
- 1032 Old Peachtree Rd NW Ste 312
Lawrenceville, GA 30043-3324 - Phone
- (770) 368-9700
- Fax
- (770) 696-2974
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN013360 | GA | Primary |
Addresses
Primary practice location
1032 Old Peachtree Rd NW Ste 312
Lawrenceville, GA 30043-3324
Mailing address
1032 Old Peachtree Rd NW Ste 312
Lawrenceville, GA 30043-3324
Phone (770) 368-9700
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 |
|---|---|---|---|
| DN013360 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1124179742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 OLD PEACHTREE RD NW STE 312",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300433324",
"telephone_number": "770-368-9700",
"fax_number": "770-696-2974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 OLD PEACHTREE RD NW STE 312",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300433324",
"telephone_number": "770-368-9700",
"fax_number": "770-696-2974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOSHUA",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN013360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.