Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Smile Source Atlanta East

Organization General Practice Dentistry · NPI 1518622869

Smile Source Atlanta East is a General Practice Dentistry in Stone Mountain, Georgia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1147 S Hairston Rd Ste A
Stone Mountain, GA 30088-2757
Phone: (678) 515-4200
Fax: (678) 515-4201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1518622869
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keonka Williams — Business Manager · (404) 897-1699
NPI enumeratedNovember 2, 2021
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021
Mailing address1100 Peachtree St Ne Ste 680, Atlanta, GA 30309-4516

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