OrganizationActiveAccepts Medicare
Waldron and Lee Dentistry LLC
NPI 1972090504 · Dentist · Marietta, GA
Enrolled with Medicare as Dme Supplier - Oral Surgery - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1972090504
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jonathan Waldron, Dentist(770) 977-5547
Specialties & taxonomies
Dental Providers
- Customized Equipment (DME)332BC3200X
Suppliers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2419 Roswell Rd
Marietta, GA 30062-4955
Phone: (770) 977-5547
Street-level locationGet directions
Mailing address
2419 Roswell Rd
Marietta, GA 30062-4955
Other names (DBA / former)
- Doing business as
- Waldron and Lee Dentistry
Registry dates
- Enumerated
- 2018-04-19
- Last updated
- 2024-08-21
- Certified
- 2024-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.