Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548990005 Individual Practitioner Male Practitioner

Jae Woo Lee

Dentist - General Practice • Calhoun, GA

Professional Overview & Biography Verified Profile Summary

Jae Woo Lee is a registered healthcare professional specializing in Dentist - General Practice in Calhoun, GA. Practice services are available at 105 PROFESSIONAL CT SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105 Professional Ct Se

Calhoun, GA 307017036

Telephone 9177452019
Associated Practice Facility / Clinic
🏢 Lucid Dental Llc Facility NPI 1477417467

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Calhoun, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
13 Specialists

Practicing in Calhoun, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN123111

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Business Mailing Address March 17, 2026

Registered at 105 PROFESSIONAL CT SE, CALHOUN, GA 307017036 (Tel: 9177452019)

📍
Updated Practice Location November 29, 2025

Registered at 105 PROFESSIONAL CT SE, CALHOUN, GA 307017036 (Tel: 9177452019)

📍
Updated Business Mailing Address November 29, 2025

Registered at 1650 N ROBERTS RD NW APT 2202, KENNESAW, GA 301443778 (Tel: 9177452019)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2025

Dentist (License #DN123111 in GA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2023

Dentist (License #DN123111 in GA)

📍
Updated Practice Location November 26, 2022

Registered at 1356 BOSTON RD STE 104, SPRINGFIELD, MA 011191338 (Tel: 4137828700)

📍
Updated Business Mailing Address November 26, 2022

Registered at 20 FRONT ST APT 204, HARTFORD, CT 061032846 (Tel: 9177452019)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2022

Dentist (License #DN1859553 in MA)

NPI Profile Active June 15, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2022

Registered at 555 STATE ST, SPRINGFIELD, MA 011094140 (Tel: 4137360027)

📍
Updated Business Mailing Address June 15, 2022

Registered at 5 TUDOR CITY PL APT 1524, NEW YORK, NY 100176873 (Tel: 9177452019)

👤
Provider Name / Credentials Updated June 15, 2022

Recorded as JAE WOO LEE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 15, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jae Woo Lee. Be the first to share your experience!

Sign in to leave a review for Jae Woo Lee

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1548990005
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2022
Last Update: May 28, 2026
Sole Proprietor: No

Mailing Address

105 Professional Ct Se

Calhoun, GA 307017036

Phone: 7066293233

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.