DR. GEORGE S. LEE MD DDS NPI 1588614804

NPI Information

NPI: 1588614804
Provider Name: DR. GEORGE S. LEE, MD, DDS
Classification: Dentist - 1223S0112X
Specialization: Oral and Maxillofacial Surgery
Entity Type: Individual
PECOS Registration: Yes
Address: 2285 RUDOLPHTOWN ROAD
SUITE 200
CLARKSVILLE, TN
ZIP 37043
Phone: (931) 552-3292

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NPI Details

DR. George S. Lee, MD, DDS is an oral and maxillofacial surgery dentist in Clarksville, TN. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. George S. Lee, MD, DDS NPI is 1588614804. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2285 RUDOLPHTOWN ROAD
SUITE 200
CLARKSVILLE, TN
ZIP 37043
Phone: (931) 552-3292
Fax: (931) 552-3243

The NPI 1588614804 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 5/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204E00000X	Oral & Maxillofacial Surgery		40738	TENNESSEE	No
2	2082S0099X	Plastic Surgery	Plastic Surgery Within the Head and Neck	40738	TENNESSEE	No
3	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DS0000008427	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3227693	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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