Provider Type Icon

LEE FAMILY DENTSTRY LLC NPI 1720465602


NPI Information

NPI: 1720465602
Provider Name: LEE FAMILY DENTSTRY, LLC

Doing Business As: FORT O SMILES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
138 BATTLEWOOD DR
FORT OGLETHORPE, GA
ZIP 30742
Phone: (706) 686-6011
Get Directions

LEE FAMILY DENTSTRY, LLC is a general practice dentist in Fort Oglethorpe, GA. The provider is 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. LEE FAMILY DENTSTRY, LLC NPI is 1720465602. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Fort O Smiles.

The provider's business location address is:

138 BATTLEWOOD DR
FORT OGLETHORPE, GA
ZIP 30742-006
Phone: (706) 686-6011
Fax: (706) 820-6854

The provider's authorized official is Jacob Lee .
The authorized official title is Owner and has the following contact phone number (706) 686-6011.

The enumeration date for this NPI number is 4/30/2015 and was last updated on 4/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDN011116GEORGIANo
21223G0001XDentistGeneral PracticeDN013134GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1076800461BMEDICAIDGEORGIA
2000583085CMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.