Jared Jamal Fletcher, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN124157 Issued in GA

Practice address

960 Lakes Pkwy
Lawrenceville, GA 30043-8904

Phone

(770) 448-8882

NPI assigned

Jan 10, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• R. Bailey, Jr, DMD, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Concord, NC
  • NPI 1992037642
  NPD (past)

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1124732490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 LAKES PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 LAKES PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438904",
            "telephone_number": "770-448-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JARED",
        "middle_name": "JAMAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-10",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN124157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flamede Health Care LLC
• Ursula Delora Flanagan
• Akeala M Flanigan
• Pamela Ellen Flatow, LCSW
• Susan L Fleming, NP
• Giorvanie Fleurme, ARNP
• Seth Flook, D.C.
• Yisela Flores Herrera, APC
• Juan Carlos Flores, DMD
• Florida Autism Center

• Orthodontics and Dentofacial Orthopedics Dentistry in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.