Individual provider · Type 1 NPI

Wangsoo Lee

Periodontics · Stockbridge, GA

NPI number 1215558929 Active

Practice location

239 Village Center Pkwy Ste 200
Stockbridge, GA 30281-5098

Mailing address

750 Avondale Creek Dr Unit 234
Decatur, GA 30032-8413

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDN123029 (GA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1215558929

Wangsoo Lee's National Provider Identifier is 1215558929, issued on May 4, 2020. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Stockbridge, GA. The record was last updated on Jan 22, 2026.