DR. JACOB J LEE (NPI# 1174543847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174543847 |
| Entity Type | Individual |
| Full Name | DR. JACOB J LEE |
| Credential | DDS |
| Practice Address |
1006 Professional Blvd Suite B Dalton GA 30720-2505 |
| Mailing Address |
1006 Professional Blvd Suite B Dalton GA 30720 |
| Practice Telephone | 7062262228 |
| Practice Fax Number | 7062261881 |
| Mailing Telephone | 7062262228 |
| Mailing Fax Number | 7062261881 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2009-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
013134 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871003152 | Jacob Lee | Technician, Other | 12 Keystone Way, San Francisco, CA 94127 | 2017-10-02 |
| 1104243260 | Jacob Lee | Acupuncturist | 827 N Bloodworth St Ste A, Raleigh, NC 27604-1231 | 2014-03-26 |
| 1083768725 | Jacob K. Lee | Dentist | 903 Calle Amanecer Ste 160, San Clemente, CA 92673-6272 | 2007-01-22 |
| 1104431485 | Jacob Cole Lee | Physician Assistant | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2020-09-13 |
| 1811513781 | Jacob Jan Lee | Physical Therapist | 953 Walnut St, Wheatland, WY 82201-2665 | 2020-06-17 |
| 1720556194 | Jacob Lee | Behavior Technician | 2110 E Flamingo Rd Ste 150, Las Vegas, NV 89119-5190 | 2018-11-05 |
| 1790282259 | Jacob C Lee | Student in an Organized Health Care Education/Training Program | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2018-04-11 |
| 1447773296 | Jacob Chung Lee | Ophthalmology | 6329 Gall Blvd, Zephyrhills, FL 33542-2515 | 2017-07-24 |
| 1912438805 | Jacob Lee | Student in an Organized Health Care Education/Training Program | 2000 Canal St, New Orleans, LA 70112-3018 | 2017-03-23 |
| 1134519457 | Jacob Lee | Registered Nurse | 424 Savannah Rd, Lewes, DE 19958-1462 | 2015-01-26 |
| Street Address |
1006 PROFESSIONAL BLVD SUITE B |
| City | DALTON |
| State | GA |
| Zip Code | 30720-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548664642 | Teresa F Marlow | Pharmacist | 1006 Professional Blvd, Dalton, GA 30720-2714 | 2014-10-17 |
| 1639436116 | Joseph Kyle Marlow | Pharmacist | 1006 Professional Blvd, Dalton, GA 30720-2714 | 2012-04-20 |
| 1710250469 | Marlow and Marlow Investments Inc | Pharmacy | 1006 Professional Blvd, Dalton, GA 30720-2714 | 2012-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610847 | Affordable Dentures & Implants - Dalton, P.C. | Dentist | 1513 W Walnut Ave Ste 1, Dalton, GA 30720-3869 | 2019-03-28 |
| 1437617677 | Weston Hughes | Dentist | 1202 Cleo Way Ste 1, Dalton, GA 30720-8428 | 2019-03-06 |
| 1417305749 | Asmara Qamar | Dentist | 251 Main St Fl 1, Dalton, MA 01226-1642 | 2016-05-26 |
| 1801130216 | Parekh Dental, PC | Dentist | 849 Shugart Road, Dalton, GA 30720 | 2012-11-26 |
| 1164636767 | Susan Rink | Dentist | 112 North Turnpike Road, Dalton, PA 18414 | 2007-05-10 |
| 1265657472 | Frank Winfred Patterson | Dentist | 1202 Cleo Way, Dalton, GA 30720-8356 | 2007-04-13 |
| 1093830028 | John Phillip Robison | Dentist | 1625 Broadrick Dr, Dalton, GA 30720 | 2007-03-20 |
| 1982748471 | W. Jeffrey Battles | Dentist | 1206 W Waugh St, Dalton, GA 30720-8771 | 2007-02-16 |
| 1215073531 | Timothy Quinn Rushing | Dentist | 1400 Dug Gap Rd, Dalton, GA 30720-5007 | 2007-01-30 |
| 1891841037 | Dental Arts of Dalton | Dentist | 1305 Broadrick Dr, Dalton, GA 30720-3008 | 2007-01-27 |
| Find all providers in DALTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.