NPI age
4 years
Enumerated 2022-04-16
● Active
Type 1 · Individual
Kanisha Smith
Smith is 1 of 39 dentist providers in Conyers and 1 of 2660 in Georgia.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, MO
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-07-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2660 active dentist providers in Georgia.
NPI age
4 years
↓ 10 yr below median (14 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-04Enumerated in NPPES
2022
2026
Where they practice
Practice location
2390 Wall St Se Ste 120
Conyers, GA 300132151
Mailing address
2390 Wall St Se Ste 120
Conyers, GA 300132151
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 2660 Dentist providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.