Individual provider Active NPI

Lee Woodrow Plunkett, DMD

  • Dentist
  • Dunwoody, GA
National Provider Identifier
1952823288
Registry record updated Jul 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN008445 Issued in GA
Practice address
4675 N Shallowford Rd Ste 118
Dunwoody, GA 30338-6309
Phone
(770) 452-0222
NPI assigned
Jul 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN008445 GA Primary

Addresses

Primary practice location

4675 N Shallowford Rd Ste 118
Dunwoody, GA 30338-6309

Mailing address

8340 Kenningston Way
Duluth, GA 30097-1667
Phone (678) 860-1931

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

LicenseStateTypeSpecialty
DN008445GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lee W. Plunkett, D.M.D., P.C. Past Accepting new patients
Dunwoody Northeast Dentistry, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499385600000",
    "number": "1952823288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 KENNINGSTON WAY",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300971667",
            "telephone_number": "678-860-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 N SHALLOWFORD RD STE 118",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386309",
            "telephone_number": "770-452-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUNKETT",
        "first_name": "LEE",
        "middle_name": "WOODROW",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-07",
        "last_updated": "2017-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN008445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; 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.