Smile Source Atlanta East is a Dental Clinic in Stone Mountain, Georgia. It is located at 1147 S Hairston Rd Ste A, Stone Mountain, GA and its contact number is 678-515-4200. The authorized person for Smile Source Atlanta East is Mrs. Keonka M Williams
who is Business Manager of the clinic and their contact number is 404-897-1699.
Smile Source Atlanta East Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Smile Source Atlanta East Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Smile Source Atlanta East |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1147 S Hairston Rd Ste A, Stone Mountain,
Georgia, 30088-2757 |
| Phone: | 678-515-4200 |
| Fax: | 678-515-4201 |
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: | Mrs. Keonka M Williams |
| Position: | Business Manager |
| Contact Number: | 404-897-1699 |
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 Smile Source Atlanta East clinic are as mentioned below.
| NPI Number: | 1518622869 |
| NPI Enumeration Date: | 02 Nov, 2021 |
| NPI Last Update On: | 02 Nov, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Smile Source Atlanta East are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | 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 |
| DN122249 | Other | Georgia | Ga Board Of Dentitstry |
| DN011069 | Other | Georgia | Ga Board Of Dentistry |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Smile Source Atlanta East
1100 Peachtree St Ne Ste 680,
Atlanta, Georgia |
| Zip: | 30309-4516 |
| Phone Number: | 404-897-1699 |
| Fax Number: | 404-897-1599 |
Patients can reach Smile Source Atlanta East at
1147 S Hairston Rd Ste A, Stone Mountain, Georgia or can
call to book an appointment on 678-515-4200.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.