Robert Lee Fletcher III, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN012896 Issued in GA

Practice address

1951 J L Todd Dr
Rome, GA 30161-5015

Phone

(706) 234-5353

Fax

(706) 234-0762

NPI assigned

Feb 8, 2007

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

Other names 1

• Dr. Lee Fletcher Other name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1295875912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 J L TODD DR",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301615015",
            "telephone_number": "706-234-5353",
            "fax_number": "706-234-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 J L TODD DR",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301615015",
            "telephone_number": "706-234-5353",
            "fax_number": "706-234-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN012896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE",
            "last_name": "FLETCHER",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• First Care Pharmacy LLC
• First Global Health Systems Inc
• Suzanne Marie Fischer, PH.D.
• Gregory Lee Fisher, PA-C
• Mark E Fisher, D.D.S.
• Jo Ellen Flournoy, CRNA
• Floyd County Board of Education
• Floyd County Board of Health
• Floyd County Board of Health
• Floyd County Board of Health

• Periodontics in Rome, GA
• Providers in Rome, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.