P Praxis·MD
● Active Type 1 · Individual

DR. Jungwoo Lee, DDS

Dentist·Duluth, GA· NPI 1710923537 · Enumerated 2006 · 19 years on NPI
Lee is 1 of 51 dentist providers in Duluth and 1 of 2660 in Georgia.
NPI age
19 years
Enumerated 2006-06-21
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
GA, IN, AZ
3 states
Status
Active
No deactivations on record
Last NPPES update
2023-10-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
3 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
11160 Medlock Bridge Rd
Duluth, GA 300972641
📞 7708477690
Mailing address
11210 Olbrich Trl
Johns Creek, GA 300972613
📞 4806466107

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    GA license #DN123077IN license #12010693 taxonomy 122300000X
  • Dentist
    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.
    AZ license #D008679 taxonomy 1223G0001X

Identifiers

TypeValueNotes
05 (IN) 200501900
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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