Lookup NPI Numbers from the NPI Registry
NPI Profile for JACOB LEE in FAYETTEVILLE, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) |
| NPI Number | 1912438805 |
|
| Status | Active | |
| Credentials | DMD, MD | |
| Entity | Individual | |
| Enumeration date | 03/23/2017 | |
| Last updated | 08/09/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JACOB LEE
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JACOB LEE, DMD, MD