Lucid Dental LLC
Dentist, General Practice in Calhoun, GA. Organization (NPI-2).
NPI number1477417467
StatusActive
Last updated in NPPESMar 17, 2026
Details
- NPI
- 1477417467
- Entity type
- Organization (NPI-2)
- Legal business name
- Lucid Dental LLC
- Organization subpart
- No
- Enumeration date
- Dec 12, 2025
- Certification date
- Mar 17, 2026
- Last updated
- Mar 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
105 Professional Ct SeCalhoun, GA 30701-7036
Phone 917-745-2019
Mailing address
105 Professional Ct SeCalhoun, GA 30701-7036
Authorized official
Jae Woo Lee
Owner
9177452019
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