Susan H Lee DMD LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN011872 Issued in GA

Legal business name

SUSAN H LEE DMD LLC

Practice address

3280 Howell Mill Rd NW
Ste 121
Atlanta, GA 30327-4111

Phone

(404) 355-8557

NPI assigned

Sep 21, 2006

Last updated

Feb 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan Hae-Kyung Lee, DMDNPI 1124042049

Title

Dentist/Owner

Phone

(404) 355-8557

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Children's Dentistry Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Hae Kyung Lee, DMD

  • Pediatric Dentistry
  • Atlanta, GA
  • NPI 1124042049
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1225137045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW",
            "address_2": "STE 121",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274111",
            "telephone_number": "404-355-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW",
            "address_2": "STE 121",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274111",
            "telephone_number": "404-355-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN H LEE DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "HAE-KYUNG",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "404-355-8557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN011872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000821895E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karen Survilas, FNP
• Survival 2 Victory, Inc.
• Nagalakshmi Charitha Suryadevara, M.D.
• Raghuveer Suryadevara, MD
• Sindhura Suryadevara, M.D.
• Susan Katrin PH.D., PC
• Susan M. Hay, Psy.D. PC
• Susan P. Smith, LPC
• Susie Daniels Senior Care
• Harold L Sussewell, MD

• Pediatric Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.