Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Natasha Alexis Lisin-Queen, DMD

Individual provider Dentist · NPI 1902068372

Dr. Natasha Alexis Lisin-Queen, DMD is a Dentist in Gainesville, Georgia. Works from 2 locations. Licensed in Florida and Georgia.

Licensed in
FL, GA
In the registry since
2008
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

592 Medical Park Dr Ste B
Gainesville, GA 30501-2055
Phone: (678) 498-1441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2500 Dallas Hwy Sw, Marietta, GA 30064-2567 — (407) 462-9828

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN014359 (GA)
Dentist Taxonomy 122300000X · Licence DN31461 (FL)

Record details

NPI number1902068372
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 27, 2008
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

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