KELLIE DENIA SMITH-CASTRO (NPI# 1619289246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619289246 |
| Entity Type | Individual |
| Full Name | KELLIE DENIA SMITH-CASTRO |
| Other Name | KELLIE D CASTRO |
| Credential | DMD |
| Practice Address |
1860 Duluth Hwy Ste 401 Lawrenceville GA 30043 |
| Mailing Address |
1860 Duluth Hwy Ste 401 Lawrenceville GA 30043-5061 |
| Practice Telephone | 6782269063 |
| Practice Fax Number | 6782269445 |
| Mailing Telephone | 7822690636 |
| Mailing Fax Number | 6782269445 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN015357 | GA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
8993 | NC | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3970 Five Forks Trickum Rd Sw Ste B, Lilburn, GA 300472339 | 7709218442 | 7709218442 |
| Street Address |
1860 DULUTH HWY STE 401 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730691874 | Kellie Smith Castro Dentistry LLC | Dentist | 1860 Duluth Hwy Ste 401, Lawrenceville, GA 30043-5061 | 2017-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A 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 degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818182 | Prasanthi Pattabhi | Dentist | 2993 Normandy Rdg, Lawrenceville, GA 30044-7869 | 2020-07-14 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1538679030 | Apex Dental Inc | Dentist | 845 Scenic Hwy Ste 300, Lawrenceville, GA 30046-7104 | 2017-10-10 |
| 1710435763 | Gwinnett Smile Design | Dentist | 603 Old Norcross Rd, Suite B, Lawrenceville, GA 30046-4315 | 2016-09-20 |
| 1760831101 | To Nga Thi Dinh LLC | Dentist | 860 Duluth Hwy Ste 1030, Lawrenceville, GA 30043-5349 | 2016-06-07 |
| 1568841856 | East Crogan Dental Group PC | Dentist | 168 E Crogan St, Lawrenceville, GA 30046-4950 | 2015-05-20 |
| 1366830762 | Grayson Family Dental Care, LLC | Dentist | 1365 Grayson Hwy Ste 106, Lawrenceville, GA 30045-6760 | 2015-01-07 |
| 1093142432 | Firas Yosif | Dentist | 1030 Duluth Hwy, Lawrenceville, GA 30043 | 2013-09-30 |
| 1083052500 | Terry H Elrod | Dentist | 603b Old Norcross Rd, Lawrenceville, GA 30046-4315 | 2013-06-06 |
| 1235440371 | Uyen Hoang | Dentist | 650 Gwinnett Dr Ste 210, Lawrenceville, GA 30046-7439 | 2010-06-23 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.