# DR. JAY K. KANSAL, DMD, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cobb Smiles Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245620558
- **Authorized official:** DR. JAY KANSAL DMD (OWNER)
- **Authorized official phone:** (678) 521-1888

## Contact information

- **Practice address:** 2480 WINDY HILL RD SE, SUITE 405, MARIETTA, GA 30067-8644
- **Practice address phone:** (770) 952-0136
- **Mailing address:** 2480 WINDY HILL RD SE, SUITE 405, MARIETTA, GA 30067-8644
- **Mailing address phone:** (770) 952-0136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DN013686 | GA | Yes |

## Other

- **Enumeration date:** 01/26/2015
- **Last updated:** 01/26/2015