Kanisha Smith
Kanisha Smith is a Dentist in Conyers, Georgia. Licensed in Georgia and Missouri. Registered with an NPI since 2022.
- Licensed in
- GA, MO
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
2390 Wall St SE Ste 120Conyers, GA 30013-2151
Phone: (770) 929-3411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DN123200 (GA) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 2022024407 (MO) |
Record details
| NPI number | 1043953151 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 16, 2022 |
| Last updated in NPPES | July 28, 2023 |
| Certification date | July 27, 2023 |
| Mailing address | 2390 Wall St Se Ste 120, Conyers, GA 30013-2151 |
Other providers in Conyers
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Ronald S. Cavola, DDS, PC
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-
Sacred Dental
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Dr. Bhagwati Sharma
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Dr. Mark Shurett, DDS
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Jaishankar Thirumalai, DMD
1806 Over Lake Dr SE, Conyers, GA 30013-1745 · (770) 760-7900
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Dr. Lina My Tran, DMD
1807 Over Lake Dr SE, Conyers, GA 30013-1777 · (770) 922-3131
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Dr. Jelani Tenoa Washington Sr., DDS
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