NPI 1134123524

Lee McLean Whitesides, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Eatonton, GA

Practice location

Address: 1097 Lake Oconee Pkwy STE 101, Eatonton, GA 31024-9510
Phone: (706) 916-4764
Fax: (706) 454-0088

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DNO11123 (GA)

Other Oral & Maxillofacial Surgery providers in Georgia →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence DN001123 (GA)

Other Dentist providers in Georgia →

Registry record

NPI: 1134123524
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2005
Record last updated: 29 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.