Individual
KIRISTI NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2635 LEE RD STE C-4, LITHIA SPRINGS, GA 30122-3356
(770) 489-9141
(770) 489-9138
Mailing address
2635 LEE RD STE C-4, LITHIA SPRINGS, GA 30122-3356
(770) 489-9141
(770) 489-9138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012862
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100618
AVESIS
—
05
—
141895700A
—
GA
01
—
1873153
UNITED CONCORIDIA INS
—
01
—
288357
CIGNA
—
01
—
7404776
AETNA
—
01
—
9182350
DORAL USA
—
Enumeration date
10/24/2006
Last updated
07/09/2007
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