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

Nakita Shanay Fordham

Individual provider General Practice Dentistry · NPI 1801728472

Nakita Shanay Fordham is a General Practice Dentistry in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

341 Ponce De Leon Ave NE
Atlanta, GA 30308-2012
Phone: (404) 616-0414
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 1223G0001X (GA)

Record details

NPI number1801728472
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 30, 2026
Last updated in NPPESMay 30, 2026
Certification dateMay 30, 2026

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