Individual
KYLE ALAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2941 PIEDMONT ROAD N.E. SUITE E, ATLANTA, GA 30305
(404) 252-2175
(678) 735-3148
Mailing address
2941 PIEDMONT ROAD N.E. SUITE E, ATLANTA, GA 30305
(404) 237-0556
(404) 237-0561
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6908
SC
122300000X
Dentist
DN014133
GA
1223G0001X
General Practice Dentistry
Primary
DN014133
GA
Other
Enumeration date
07/09/2010
Last updated
01/10/2013
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