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Jacob Lee, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in Fayetteville, Georgia
NPI 1912438805

Jacob Lee is a Oral and Maxillofacial Surgery (Dentist) based in Brookhaven, GA and is specialized in Oral and Maxillofacial Surgery. Jacob Lee practices in Fayetteville, GA and has the professional credentials of DMD,MD. The NPI Number for Jacob Lee is 1912438805 and holds a License No. 94785 (Georgia).

The current practice location address for Jacob Lee is 1260 Highway 54 Ste 200, Fayetteville, GA and can be reached out via phone at 770-461-2101. You can also correspond with Jacob Lee through the mailing address at 2593 BROOKLINE CIR NE, BROOKHAVEN, GA - 30319-3691 (mailing address contact number: 404-966-8576).

Location: 1260 Highway 54 Ste 200, Fayetteville, GA, 30319-3691
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912438805
Provider Name
Jacob Lee
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Male
Address
1260 Highway 54 Ste 200, Fayetteville, GA, 30319-3691
Phone Number
770-461-2101
Fax Number
Provider Enumeration Date
03/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1260 Highway 54 Ste 200
City
Fayetteville
State
Georgia
Zip
30214-4513
Phone Number
770-461-2101
Fax Number
person
Provider Business Mailing Address Details
Address
1260 Highway 54 Ste 200
City
Fayetteville
State
Georgia
Zip
30214-4513
Phone Number
770-461-2101
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN122602 (Georgia)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
94785 (Georgia)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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