Kanisha Smith
Dentist · Conyers, GA
Practice location
2390 Wall St SE Ste 120Conyers, GA 30013-2151
- Phone
- (770) 929-3411
NPI record
- NPI
- 1043953151
- Entity type
- Individual (Type 1)
- Enumeration date
- April 16, 2022
- Last updated
- July 28, 2023
- Certified
- July 27, 2023
- Sole proprietor
- No
Specialties & taxonomy codes
About Kanisha Smith
Kanisha Smith is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2390 Wall St SE Ste 120, Conyers, GA 30013-2151. The NPI number 1043953151 was assigned on April 16, 2022 and the record was last updated on July 28, 2023.
Kanisha Smith lists 2 licenses in the registry: #DN123200 (GA) for Dentist; #2022024407 (MO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kanisha Smith?
The NPI number is 1043953151.
What is the phone number of Kanisha Smith?
The phone number listed for the practice location is (770) 929-3411.
Where is Kanisha Smith located?
2390 Wall St SE Ste 120, Conyers, GA 30013-2151.
What is the taxonomy code for Kanisha Smith?
The primary taxonomy code is 122300000X – Dentist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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