Dr. Lee Christopher Vandewater
Oral and Maxillofacial Surgeon
55 Whitcher St Ne Suite 140
Marietta
, Georgia 30060-1155
Dr. Lee Christopher Vandewater
Oral and Maxillofacial Surgeon
55 Whitcher St Ne Suite 140
Marietta
, Georgia 30060-1155
(770) 422-6017
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Lee Christopher Vandewater
- 55 Whitcher St Ne Suite 140
- Marietta, GA
- Zip : 30060-1155
- Fax : (770) 422-6017
- Phone : (770) 422-7630
Second Address
- Dr. Lee Christopher Vandewater
- 55 Whitcher St Ne Suite 140
- Marietta, GA
- Zip : 30060-1155
- Fax : (770) 422-6017
- Phone : (770) 422-7630
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 011316 | GA |
National Provider Identifier
| NPI | 1053325795 |
|---|---|
| Provider Name | Dr. Lee Christopher Vandewater |
| First Address | Marietta, GA 30060-1155 |
| Second Address | Marietta, GA 30060-1155 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2006 |
| Last Update Date | 06/01/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00672548B | (05) | GA |
| U58862 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.