Kellie Denia Smith-Castro, DMD

Dentist · Lawrenceville, GA

Individual Active NPI

NPI number 1619289246

Practice location

1860 Duluth Hwy Ste 401
Lawrenceville, GA 30043
Phone
(678) 226-9063
Fax
(678) 226-9445

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NPI record

NPI
1619289246
Entity type
Individual (Type 1)
Enumeration date
July 12, 2010
Last updated
June 11, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN015357 GA
General Practice Dentistry 1223G0001X 8993 NC

Mailing address

1860 Duluth Hwy Ste 401
Lawrenceville, GA 30043-5061
Phone
(782) 269-0636
Fax
(678) 226-9445

Other practice locations (1)

  • 3970 Five Forks Trickum Rd SW Ste B, Lilburn, GA 30047-2339 · (770) 921-8442

About Dr. Smith-Castro

Kellie Denia Smith-Castro, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1860 Duluth Hwy Ste 401, Lawrenceville, GA 30043. The NPI number 1619289246 was assigned on July 12, 2010 and the record was last updated on June 11, 2019.

Dr. Smith-Castro lists 2 licenses in the registry: #DN015357 (GA) for Dentist; #8993 (NC) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kellie Denia Smith-Castro, DMD?

The NPI number is 1619289246.

What is the phone number of Dr. Smith-Castro?

The phone number listed for the practice location is (678) 226-9063.

Where is Dr. Smith-Castro located?

1860 Duluth Hwy Ste 401, Lawrenceville, GA 30043.

What is the taxonomy code for Dr. Smith-Castro?

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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