P Praxis·MD
● Active Type 2 · Organization

Kellie Smith Castro Dentistry Llc

Dentist·Lawrenceville, GA· NPI 1730691874 · Enumerated 2017 · 8 years on NPI
Kellie Smith Castro Dentistry Llc is 1 of 4309 dentist organizations in Georgia.
NPI age
8 years
Enumerated 2017-10-30
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Castro
Owner/dentist
Last NPPES update
2017-10-30
Source: monthly bulk 2026-05

How this organization compares

Across 4309 active dentist providers in Georgia.

NPI age
8 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2017 → 2026

2017-10Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
1860 Duluth Hwy Ste 401
Lawrenceville, GA 300435061
📞 6782269063fax 6782269445
Mailing address
1860 Duluth Hwy Ste 401
Lawrenceville, GA 300435061

Authorized official

Kellie Castro, DMD
Owner/dentist
📞 6782269063

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    A 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.
    GA license #DN015357 taxonomy 1223G0001X

Identifiers

TypeValueNotes
01 (NC) 1619289246 N/A

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Dentistry At The Mills
    Type code 3 recorded 2017-10-30

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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