JAEYOUNG LEE
NPI 1376307264
Dentist - General Practice in Flowery Branch, GA

Q: What is Jaeyoung Lee's NPI number?

The NPI number for Jaeyoung Lee is 1376307264. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Q: What is Jaeyoung Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jaeyoung Lee was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 12, 2024

4690 HOG MOUNTAIN RD STE H105, FLOWERY BRANCH, GA 30542(770) 967-1001 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jaeyoung Lee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAEYOUNG LEE (NPI 1376307264) is an individual general practice provider in Flowery Branch, Georgia, licensed in Georgia (DN123810) and active in the NPI registry since February 2024. He maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1376307264

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJAEYOUNG LEE

Location Address4690 HOG MOUNTAIN RD STE H105Flowery Branch, GA 30542-6422

Mailing Address1290 Old Peachtree Rd Apt 4321Duluth, GA 30097-5324 · (803) 243-7290

Phone(770) 967-1001

Sole ProprietorNo

Enumeration DateFebruary 12, 2024

Last NPPES UpdateOctober 30, 2025

NPPES CertifiedOctober 30, 2025

✔ NPI 1376307264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · DN123810

Definition

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.

4690 HOG MOUNTAIN RD STE H105, Flowery Branch, GA 30542

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Secondary Practice Location 1

Location 11630 Pleasant Hill Rd Ste 200Duluth, GA 30096-5828 · Phone (770) 381-7878

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaeyoung Lee's NPI number?

The NPI number for Jaeyoung Lee is 1376307264. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Where is Jaeyoung Lee located?

Jaeyoung Lee practices at 4690 Hog Mountain Rd Ste H105, Flowery Branch, GA 30542. The listed phone number is (770) 967-1001.

What is Jaeyoung Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jaeyoung Lee accept?

Health plans from Anthem Blue Cross and Blue Shield list Jaeyoung Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaeyoung Lee was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.