OrganizationActive
Mini Smiles Pediatric Dentistry, PC
NPI 1184059073 · Pediatric Dentistry · Conyers, GA
Mini Smiles Pediatric Dentistry, PC is a Pediatric Dentistry organization in Conyers, GA (NPI 1184059073).
Provider details
- NPI number
- 1184059073
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Keysra Washington, Owner/Dentist(770) 761-5690
- License
- DN013140 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1400 Dogwood Dr Se
Conyers, GA 30013-5037
Phone: (770) 761-5690
Fax: (770) 761-9750
Street-level locationGet directions
Mailing address
1400 Dogwood Dr Se
Conyers, GA 30013-5037
Registry dates
- Enumerated
- 2013-09-10
- Last updated
- 2014-02-07
Frequently asked questions
- What is Mini Smiles Pediatric Dentistry, PC's NPI number?
- Mini Smiles Pediatric Dentistry, PC's National Provider Identifier (NPI) is 1184059073, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mini Smiles Pediatric Dentistry, PC?
- Mini Smiles Pediatric Dentistry, PC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Mini Smiles Pediatric Dentistry, PC located?
- Mini Smiles Pediatric Dentistry, PC's practice location on file with NPPES is 1400 Dogwood Dr Se, Conyers, GA 30013-5037.
- What is Mini Smiles Pediatric Dentistry, PC's phone number?
- The practice phone number listed in the NPPES registry for Mini Smiles Pediatric Dentistry, PC is (770) 761-5690.
- Who is the authorized official for Mini Smiles Pediatric Dentistry, PC?
- The authorized official listed on Mini Smiles Pediatric Dentistry, PC's NPPES record is Keysra Washington, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mini Smiles Pediatric Dentistry, PC's NPI active?
- Yes — Mini Smiles Pediatric Dentistry, PC's NPI (1184059073) is active in the NPPES registry as of the last update on 2014-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.