Kadijah S Smith, DDS is a
Dentist based in Stonecrest, Georgia. Kadijah S Smith is licensed to practice in Georgia (license number DN123197) and her current practice location is
3120 Stonecrest Blvd Ste 100, Stonecrest, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 484-4994.
NPI number for Kadijah S Smith is 1184304081 and her current mailing address is 125 N Arcadia Ave Apt 224, Decatur, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184304081.
Healthcare Provider's Profile
| Full Name | Kadijah S Smith |
|---|
| Gender | Female |
|---|
| Speciality | Dentist |
|---|
| Location | 3120 Stonecrest Blvd Ste 100, Stonecrest, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1184304081
- Provider Enumeration Date: 07/25/2023
- Last Update Date: 07/25/2023
Medical Identifiers
Medical identifiers for Kadijah S Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184304081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DN123197 (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. Kadijah S 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 |
|---|
Kadijah S Smith, DDS
125 N Arcadia Ave Apt 224,
Decatur, GA 30030-2153
Ph: (901) 574-8930 | Kadijah S Smith, DDS
3120 Stonecrest Blvd Ste 100,
Stonecrest, GA 30038-2693
Ph: (770) 484-4994 |
Reviews and Comments