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DR. HEAVENLY KIMES
NPI 1114074192
Dentist in Conyers, GA

Active since January 04, 2007
3240 GLENCREE ROAD, CONYERS, GA 30012(404) 713-4982(678) 413-2491 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Heavenly Kimes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HEAVENLY KIMES (NPI 1114074192) is an individual dentist in Conyers, Georgia, licensed in Georgia (DN012304) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1114074192
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. HEAVENLY KIMES
Location Address3240 GLENCREE ROADConyers, GA 30012-1167
Mailing Address3240 Glenccree RoadConyers, GA 30012-1167 · (678) 413-3184 · Fax (678) 413-2491
Phone(404) 713-4982
Fax(678) 413-2491
Sole ProprietorYes
Enumeration DateJanuary 4, 2007
Last NPPES UpdateMay 15, 2008
✔ NPI 1114074192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · DN012304
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3240 GLENCREE ROAD, Conyers, GA 30012
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Other Identifiers 3

Medicaid000898015AGA
Medicaid000898015BGA
Medicaid000898015CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heavenly Kimes's NPI number?

The NPI number for Heavenly Kimes is 1114074192. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Heavenly Kimes located?

Heavenly Kimes practices at 3240 Glencree Road, Conyers, GA 30012. The listed phone number is (404) 713-4982.

What is Heavenly Kimes's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Heavenly Kimes accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Heavenly Kimes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heavenly Kimes was last updated on May 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.