Lee Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

DN012439 Issued in GA

Legal business name

LEE FAMILY DENTISTRY

Practice address

2176 Macland Rd
Dallas, GA 30157-5190

Phone

(770) 445-1081

Fax

(770) 445-7737

NPI assigned

Aug 12, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jason Micheal Stevens, D.M.D.NPI 1649668898

Title

Owner / Dentist

Phone

(770) 445-1081

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jason M.Stevens, D.M.D. Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason M. Stevens, D.M.D.

  • Dentist
  • Dallas, GA
  • NPI 1649668898
  NPD (past) Authorized official
• Hunter Ellis Stinson, DMD

  • Dentist
  • Dallas, GA
  • NPI 1821640293
  NPD (past)
• Kara Carleton, D.M.D

  • Dentist
  • Colorado Springs, CO
  • NPI 1760863583
  NPD (past)

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1457760746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 MACLAND RD",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301575190",
            "telephone_number": "770-445-1081",
            "fax_number": "770-445-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2176 MACLAND RD",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301575190",
            "telephone_number": "770-445-1081",
            "fax_number": "770-445-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MICHEAL",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "770-445-1081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Jason M.Stevens, D.M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Candice Marie Laster, LPN
• Megan Laudel, DPT
• Le'Fevre Personal Care Homes, Inc.
• Tyler Justin Lebel, OD
• Kristin Lee Ledbetter, CSFA
• Michael Lee, D.M.D
• Robert Edward Lee, DMD
• Emily Leete
• Legacy of Dallas
• Let'S Talk Psychotherapy Services

• All providers in Dallas, GA
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.