NPI age
12 years
Enumerated 2013-09-10
● Active Type 2 · Organization
Mini Smiles Pediatric Dentistry, Pc
Mini Smiles Pediatric Dentistry, Pc is 1 of 539 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Washington
Owner/dentist
Last NPPES update
2014-02-07
Source: monthly bulk 2026-05
How this organization compares
Across 539 active dentist providers in Georgia.
NPI age
12 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-09Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
1400 Dogwood Dr Se
Conyers, GA 300135037
Mailing address
1400 Dogwood Dr Se
Conyers, GA 300135037
Authorized official
Keysra M Washington, DDS
Owner/dentist
📞 7707615690
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1376603308 | INDIVIDUAL NPI NUMBER |
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 539 Dentist providers in Georgia?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.