Dr Kamal Jackson Smith, DDS is a
Dentist based in Stonecrest, Georgia. Dr Kamal Jackson Smith is licensed to practice in Georgia (license number DN123082) and his current practice location is
2998 Panola Rd Ste 100, Stonecrest, Georgia. He can be reached at his office (for appointments etc.) via phone at
(770) 322-8040.
NPI number for Dr Kamal Jackson Smith is 1285313304 and his current mailing address is 125 N Arcadia Ave Apt 230, Decatur, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285313304.
Healthcare Provider's Profile
| Full Name | Dr Kamal Jackson Smith |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 2998 Panola Rd Ste 100, Stonecrest, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285313304
- Provider Enumeration Date: 07/17/2023
- Last Update Date: 07/17/2023
Medical Identifiers
Medical identifiers for Dr Kamal Jackson Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285313304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DN123082 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kamal Jackson Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kamal Jackson Smith, DDS
125 N Arcadia Ave Apt 230,
Decatur, GA 30030-2152
Ph: (301) 404-0796 | Dr Kamal Jackson Smith, DDS
2998 Panola Rd Ste 100,
Stonecrest, GA 30038-2395
Ph: (770) 322-8040 |
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