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Active NPI 1124305057 Individual Practitioner Male Practitioner

Dr. Jong S Lee , DDS

Dentist - General Practice • Duluth, GA

Professional Overview & Biography Verified Profile Summary

Dr. Jong Lee, DDS is a registered healthcare professional specializing in Dentist - General Practice in Duluth, GA. Practice services are available at 4855 RIVER GREEN PKWY STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4855 River Green Pkwy Ste 110

Duluth, GA 300968333

Telephone 7705003757

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Duluth, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
61 Specialists

Practicing in Duluth, 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: 2020-04-05
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN014311

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WI 6842-15

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Ji Eun Park

Dental Hygienist

NPI 1780200089
Dr. Beom Lee , DDS

Dentist - General Practice

NPI 1891806444

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 05, 2020

Registered at 4855 RIVER GREEN PKWY STE 110, DULUTH, GA 300968333 (Tel: 7705003757)

📍
Updated Business Mailing Address April 05, 2020

Registered at 4855 RIVER GREEN PKWY STE 110, DULUTH, GA 300968333 (Tel: 7705003757)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2020

Dentist (License #6842-15 in WI)

NPI Profile Active December 19, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2014

Registered at 3220 COBB PKWY SE, SUITE 205, ATLANTA, GA 303393895 (Tel: 5038067015)

📍
Updated Business Mailing Address December 19, 2014

Registered at 3220 COBB PKWY SE, SUITE 205, ATLANTA, GA 303393895 (Tel: 5038067015)

👤
Provider Name / Credentials Updated December 19, 2014

Recorded as JONG LEE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2014

Dentist (License #DN014311 in GA)

🟢
Initial NPI Registration & Enumeration November 06, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124305057
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2011
Last Update: April 05, 2020
Sole Proprietor: Yes

Mailing Address

4855 River Green Pkwy Ste 110

Duluth, GA 300968333

Phone: 7705003757

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.