Active NPI
John J Lee, DMD
- Periodontics
- Lawrenceville, GA
National Provider Identifier
1285856427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN122190
- Practice address
- 1790 Atkinson Rd Ste G
Lawrenceville, GA 30043-7989 - Phone
- (678) 226-2716
- Fax
- (678) 226-2717
- NPI assigned
- May 3, 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN122190 | GA | Primary |
Addresses
Primary practice location
1790 Atkinson Rd Ste G
Lawrenceville, GA 30043-7989
Mailing address
1790 Atkinson Rd
BLDG 4 Ste G
Lawrenceville, GA 30043
Phone (678) 226-2716
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 |
|---|---|---|---|
| DN122190 | GA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1285856427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 ATKINSON RD",
"address_2": "BLDG 4 STE G",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30043",
"telephone_number": "678-226-2716",
"fax_number": "678-226-2717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 ATKINSON RD STE G",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300437989",
"telephone_number": "678-226-2716",
"fax_number": "678-226-2717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "GA",
"license": "DN122190",
"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 Oct 8, 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.