Kanisha Smith is a Conyers, Georgia based Dentist who is specialized in
Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kanisha Smith is
DN123200 for Dentistry in Georgia. Her current practice location is
2390 Wall St Se Ste 120, Conyers. Patients can reach her at
770-929-3411.
Kanisha Smith is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kanisha Smith speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Kanisha Smith |
| Specialization: | Dentist |
| Gender: | Female |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2390 Wall St Se Ste 120, Conyers, Georgia, 30013-2151 |
| Phone: | 770-929-3411 |
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 are as mentioned below.
| NPI Number: | 1043953151 |
| NPI Enumeration Date: | 16 Apr, 2022 |
| NPI Last Update On: | 28 Jul, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kanisha Smith are as mentioned below.
| License Number | Specialization | State | Status | |
| DN123200 | Dentistry | Georgia | Primary | |
| 2022024407 | Dentistry | Missouri | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2390 Wall St Se Ste 120, Conyers, Georgia |
| Zip: | 30013-2151 |
Patients can reach Kanisha Smith at
2390 Wall St Se Ste 120, Conyers, Georgia or can
call to book an appointment on 770-929-3411.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.