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Jae Woo Lee

Dentist - General Practice β€’ Calhoun, GA

Active NPI 1548990005 Individual Practitioner Male Practitioner
Practice location in NPPES

105 Professional Ct Se
Calhoun, GA 307017036

Call 9177452019 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

105 Professional Ct Se

Calhoun, GA 307017036

Telephone 9177452019
Organization at the Same NPPES Address or Phone
Lucid Dental Llc Facility NPI 1477417467

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

120 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$400 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Calhoun and Georgia

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 75% of clinicians listed under Dentist - General Practice in Georgia (2024, 1,642 clinicians with data). Median for this group: 54. Middle half: 26 to 105.

Too few clinicians listed under Dentist - General Practice in Calhoun have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 75% of clinicians listed under Dentist - General Practice in Georgia (2024, 1,642 clinicians with data). Median for this group: $160. Middle half: $72 to $349.

Too few clinicians listed under Dentist - General Practice in Calhoun have Medicare Part D data for 2024 to compare.

13 active clinicians are listed under Dentist - General Practice with a practice address in Calhoun, GA (3,148 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Calhoun

0% of these 13 clinicians have the CMS telehealth indicator.

0% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Ibuprofen Ibuprofen 64 448 $163.17 59
Amoxicillin Amoxicillin 56 386 $237.24 55

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES GA DN123111

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Business Mailing Address March 17, 2026

Registered at 105 PROFESSIONAL CT SE, CALHOUN, GA 307017036 (Tel: 9177452019)

πŸ“
Updated Practice Location November 29, 2025

Registered at 105 PROFESSIONAL CT SE, CALHOUN, GA 307017036 (Tel: 9177452019)

πŸ“
Updated Business Mailing Address November 29, 2025

Registered at 1650 N ROBERTS RD NW APT 2202, KENNESAW, GA 301443778 (Tel: 9177452019)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2025

Dentist (license number reported to NPPES: GA DN123111)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2023

Dentist (license number reported to NPPES: GA DN123111)

πŸ“
Updated Practice Location November 26, 2022

Registered at 1356 BOSTON RD STE 104, SPRINGFIELD, MA 011191338 (Tel: 4137828700)

πŸ“
Updated Business Mailing Address November 26, 2022

Registered at 20 FRONT ST APT 204, HARTFORD, CT 061032846 (Tel: 9177452019)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2022

Dentist (license number reported to NPPES: MA DN1859553)

βœ…
NPI Profile Active June 15, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 15, 2022

Registered at 555 STATE ST, SPRINGFIELD, MA 011094140 (Tel: 4137360027)

πŸ“
Business Mailing Address (Initial Record) June 15, 2022

Registered at 5 TUDOR CITY PL APT 1524, NEW YORK, NY 100176873 (Tel: 9177452019)

πŸ‘€
Provider Name / Credentials (Initial Record) June 15, 2022

Recorded as JAE WOO LEE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 15, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1548990005
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2022
Last Update: May 28, 2026
Sole Proprietor: No

Other Dentist - General Practices in Calhoun

All Dentist - General Practices in Calhoun

Mailing Address

105 Professional Ct Se

Calhoun, GA 307017036

Phone: 7066293233

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.