Organization
LEE DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A LEE DMD (DENTIST OWNER)
(706) 376-7147
Entity
Organization
Contact information
Practice address
30 CHANDLER CENTER, HARTWELL, GA 30643
(706) 376-7147
(706) 377-4797
Mailing address
30 CHANDLER CENTER, HARTWELL, GA 30643
(706) 376-7147
(706) 377-4797
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00472051B
—
GA
Enumeration date
10/17/2006
Last updated
08/22/2020
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