Provider Demographics
NPI:1326068735
Name:LEMONS, TERRY JOE (DDS)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:JOE
Last Name:LEMONS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4060 JOHNS CREEK PARKWAY
Mailing Address - Street 2:BLDG B
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024
Mailing Address - Country:US
Mailing Address - Phone:770-418-1414
Mailing Address - Fax:770-418-1446
Practice Address - Street 1:4060 JOHNS CREEK PKWY
Practice Address - Street 2:BLDG, B
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-1230
Practice Address - Country:US
Practice Address - Phone:770-418-1414
Practice Address - Fax:770-418-1446
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA110491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice