P Praxis·MD
● Active Type 1 · Individual

Jacob Lee, DMD, MD

Oral & Maxillofacial Surgery·Fayetteville, GA· NPI 1912438805 · Enumerated 2017 · 9 years on NPI
Lee is 1 of 3 oral & maxillofacial surgery providers in Fayetteville and 1 of 48 in Georgia.
NPI age
9 years
Enumerated 2017-03-23
Primary specialty
Oral & Maxillofacial Surgery
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-08-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 48 active oral & maxillofacial surgery providers in Georgia.

NPI age
9 years
↓ 7 yr below median (16 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
1
In the 58% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-03Enumerated in NPPES
2017 2026

Where they practice

Practice location
1260 Highway 54 Ste 200
Fayetteville, GA 302144513
📞 7704612101
Mailing address
2593 Brookline Cir Ne
Brookhaven, GA 303193691
📞 4049668576

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1825 Highway 34 E Ste 1700
Newnan, GA 302656416
📞 4704002637

Specialties

  • Oral & Maxillofacial Surgery Primary
    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...
    GA license #94785 taxonomy 204E00000X
  • Dentist
    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.
    GA license #DN122602 taxonomy 1223S0112X

Practice context

Solo or small practice. No other active providers share 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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