Mini Smiles Pediatric Dentistry, Pc is a Pediatric Dental Clinic in Conyers, Georgia. It is located at 1400 Dogwood Dr Se, Conyers, GA and its contact number is 770-761-5690. The authorized person for Mini Smiles Pediatric Dentistry, Pc is Keysra M Washington
who is Owner/dentist of the clinic and their contact number is 770-761-5690. The primary license number for Mini Smiles Pediatric Dentistry, Pc is DN013140 (Pediatric Dentistry) in Georgia. Mini Smiles Pediatric Dentistry, Pc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Mini Smiles Pediatric Dentistry, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Mini Smiles Pediatric Dentistry, Pc
Specialization:
Pediatric Dentistry
Clinic Address:
1400 Dogwood Dr Se, Conyers, Georgia, 30013-5037
Phone:
770-761-5690
Fax:
770-761-9750
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Keysra M Washington
Position:
Owner/dentist
Contact Number:
770-761-5690
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mini Smiles Pediatric Dentistry, Pc clinic are as mentioned below.
NPI Number:
1184059073
NPI Enumeration Date:
10 Sep, 2013
NPI Last Update On:
07 Feb, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mini Smiles Pediatric Dentistry, Pc are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
DN013140
Georgia
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1376603308
Other
Texas
Individual Npi Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mini Smiles Pediatric Dentistry, Pc 1400 Dogwood Dr Se, Conyers, Georgia
Zip:
30013-5037
Phone Number:
770-761-5690
Fax Number:
770-761-9750
Patients can reach Mini Smiles Pediatric Dentistry, Pc at 1400 Dogwood Dr Se, Conyers, Georgia or can call to book an appointment on 770-761-5690. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.