# DANIEL LEE DMD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750714986
- **Authorized official:** DR. DANIEL LEE D.M.D. (PRESIDENT)
- **Authorized official phone:** (770) 974-4146

## Contact information

- **Practice address:** 4569 DALLAS STREET, ACWORTH, GA 30101
- **Practice address phone:** (770) 974-4146
- **Practice address fax:** (770) 974-4950
- **Mailing address:** 4427 CARNES ST, ACWORTH, GA 30101-5305
- **Mailing address phone:** (770) 974-4146
- **Mailing address fax:** (770) 974-4950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | FL0024113 | GA | Yes |

## Other

- **Enumeration date:** 08/12/2013
- **Last updated:** 08/10/2023