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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KANISHA SMITH

Active

KANISHA SMITH is a Dentist healthcare provider located in CONYERS, Georgia. NPI 1043953151 is currently active in the NPPES registry. Verify at CMS.

Dentist · CONYERS, GA

Registration Details

NPI Number
1043953151
Provider Type
Individual
Gender
Female
NPI Issued
Apr 16, 2022 (4.3037968429681 yrs)
Last Updated
Jul 28, 2023
Licenses
2022024407 (MO)
DN123200 (GA)

Practice Information

Address
2390 WALL ST SE STE 120
CONYERS, GA, 300132151
Browse GA providers · Browse ZIP 30013
Phone
7709293411
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in CONYERS, GA

Name Credential NPI
DR. JELANI TENOA WASHINGTON SR. D.D.S. 1083698757
DR. JODY LEE GRANIER DDS 1194703215
DR. MARK SHURETT DDS 1437137577
DR. IGOR REIZENSON DDS 1477531515
DR. ERIK THURSTON GOODWIN DDS 1457339590
DR. JINOOS FARHANG FALLAH DMD 1306824438
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.