Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861310237 Individual Practitioner Female Practitioner

Jina Lee

Dentist - General Practice • Lilburn, GA

Professional Overview & Biography Verified Profile Summary

Jina Lee is a registered healthcare professional specializing in Dentist - General Practice in Lilburn, GA. Practice services are available at 609 BEAVER RUIN RD NW STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

609 Beaver Ruin Rd Nw Ste A

Lilburn, GA 300473401

Telephone 7709253300
Associated Practice Facility / Clinic
🏢 Platinum Dental Of Lilburn Facility NPI 1154448850

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lilburn, GA

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

Practicing in Lilburn, 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: 2026-07-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN124204

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.

Secondary Practice Locations

1152 Auburn Rd Ste 101

Dacula, GA 300195445

Phone: 7709253300

6460 Spalding Dr Ste C2nd

Peachtree Corners, GA 300921807

Phone: 7709253300

Practice Associates & Co-Workers

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

8 Associated Practitioners

Doctor of Dental Surgery

Dr. Mark Thebaut , DDS

Dentist - Pediatric Dentistry

NPI 1245332238

Doctor of Dental Surgery

NPI 1306065271
Maxine Handsor , DA

Dental Assistant

NPI 1467671339
Christina Watts , DA

Dental Assistant

NPI 1649499500
Dr. Gregory Clepper , DMD

Dentist - General Practice

NPI 1831291574

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 10, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2026

Registered at 609 BEAVER RUIN RD NW STE A, LILBURN, GA 300473401 (Tel: 7709253300)

📍
Updated Business Mailing Address July 10, 2026

Registered at 5171 GLADE PARK DR, LILBURN, GA 300472300 (Tel: 4049848251)

👤
Provider Name / Credentials Updated July 10, 2026

Recorded as JINA LEE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2026

Dentist (License #DN124204 in GA)

🟢
Initial NPI Registration & Enumeration July 06, 2026

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: 1861310237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2026
Last Update: July 10, 2026
Sole Proprietor: Yes

Mailing Address

5171 Glade Park Dr

Lilburn, GA 300472300

Phone: 4049848251

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.