NPI age
4 years
Enumerated 2021-11-02
● Active Type 2 · Organization
Smile Source Atlanta East
Smile Source Atlanta East is 1 of 4309 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Williams
Business Manager
Last NPPES update
2021-11-02
Source: monthly bulk 2026-05
How this organization compares
Across 4309 active dentist providers in Georgia.
NPI age
4 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-11Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
1147 S Hairston Rd Ste A
Stone Mountain, GA 300882757
Mailing address
1100 Peachtree St Ne Ste 680
Atlanta, GA 303094516
Authorized official
Keonka M Williams
Business Manager
📞 4048971699
Specialties
-
Dentist PrimaryA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | DN122249 | GA BOARD OF DENTITSTRY |
| 01 (GA) | DN011069 | GA BOARD OF DENTISTRY |
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 4309 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 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.