Lee Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DNO10225 Issued in GA

Legal business name

LEE FAMILY DENTISTRY LLC

Practice address

3901 Forrest Street Ext
Valdosta, GA 31605-7056

Phone

(229) 244-8884

Fax

(229) 244-8874

NPI assigned

Jan 9, 2007

Last updated

Aug 22, 2020By 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

Burgess Herbert Lee Jr., D.M.D.

Title

Dentist

Phone

(229) 244-8884

Specialties & licenses 1

Addresses

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.

• Sherry C Colvin, DMD

  • General Practice Dentistry
  • Valdosta, GA
  • NPI 1073534673
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427107499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 FORREST STREET EXT",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057056",
            "telephone_number": "229-244-8884",
            "fax_number": "229-244-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 FORREST STREET EXT",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057056",
            "telephone_number": "229-244-8884",
            "fax_number": "229-244-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BURGESS",
        "authorized_official_middle_name": "HERBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "229-244-8884",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DNO10225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Thi Le, PA-C
• Kristi Leab
• Sara Ledesma
• Anna Michelle Ledford, MD
• John William Ledwitch III, CPNP
• Emily White Lee, SLP
• Jamari K Lee
• Katharine Victoria Lee, PA-C
• Laurie Anna Lee, M.ED., CCC-SLP
• Lynn S Lee, M.D.

• General Practice Dentistry in Valdosta, GA
• Providers in Valdosta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.