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MINI SMILES PEDIATRIC DENTISTRY, PC
NPI 1184059073
Dentist - Pediatric Dentistry in Conyers, GA

Active since September 10, 2013
1400 DOGWOOD DR SE, CONYERS, GA 30013(770) 761-5690(770) 761-9750 Get Directions Write a Review

NPPES record last updated: February 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mini Smiles Pediatric Dentistry, Pc NPPES

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

MINI SMILES PEDIATRIC DENTISTRY, PC (NPI 1184059073) is a healthcare organization registered as a pediatric dentistry in Conyers, Georgia and active in the NPI registry since September 2013. The organization lists Keysra M Washington, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1184059073
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMINI SMILES PEDIATRIC DENTISTRY, PC
Location Address1400 DOGWOOD DR SEConyers, GA 30013-5037
Mailing Address1400 Dogwood Dr SeConyers, GA 30013-5037 · (770) 761-5690 · Fax (770) 761-9750
Phone(770) 761-5690
Fax(770) 761-9750
Organization SubpartNo
Authorized OfficialKeysra M WashingtonOwner/dentist · (770) 761-5690
Enumeration DateSeptember 10, 2013
Last NPPES UpdateFebruary 7, 2014
✔ NPI 1184059073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in GA · DN013140
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1400 DOGWOOD DR SE, Conyers, GA 30013
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Other Identifiers 1

Other1376603308TX · Individual Npi Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 Mini Smiles Pediatric Dentistry, PC's NPI number?

The NPI number for Mini Smiles Pediatric Dentistry, PC is 1184059073. It was assigned to this organization in the NPPES registry on September 10, 2013.

Where is Mini Smiles Pediatric Dentistry, PC located?

Mini Smiles Pediatric Dentistry, PC is located at 1400 Dogwood Dr SE, Conyers, GA 30013. The listed phone number is (770) 761-5690.

What is Mini Smiles Pediatric Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Mini Smiles Pediatric Dentistry, PC accept?

Health plans from UnitedHealthcare list Mini Smiles Pediatric Dentistry, PC 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 Mini Smiles Pediatric Dentistry, PC was last updated on February 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.