Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Lee, DMD, MD

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1912438805

Jacob Lee, DMD, MD is a Maxillofacial Surgery in Fayetteville, Georgia. Qualified in 2017, 9 years ago. Practices with Atlanta Oral and Facial Surgery LLC, a 24-clinician group and works from 2 locations. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1260 Highway 54 Ste 200
Fayetteville, GA 30214-4513
Phone: (770) 461-2101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1825 Highway 34 E Ste 1700, Newnan, GA 30265-6416 — (470) 400-2637

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 94785 (GA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DN122602 (GA)

Record details

NPI number1912438805
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MD
Sole proprietorNo
NPI enumeratedMarch 23, 2017
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing address2593 Brookline Cir Ne, Brookhaven, GA 30319-3691

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesDENTIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Atlanta Oral And Facial Surgery Llc — 24 clinicians
Accepts Medicare assignment Not indicated

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