Organization
KIMBERLY A PETERS DMD PC
Active
Other names
Seek & Smile Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY PETERS DMD (PRESIDENT)
(706) 294-3004
Entity
Organization
Contact information
Practice address
1000 IRIS DR SW STE A, CONYERS, GA 30094-6622
(770) 922-1666
Mailing address
1000 IRIS DR SW STE A, CONYERS, GA 30094-6622
(770) 922-1666
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194166306
NPI INDIVIDUAL
GA
01
—
DN014630
DENTAL LICENSE
GA
Enumeration date
03/27/2024
Last updated
03/27/2024
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