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.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.