OrganizationActive
Smile Source Atlanta East
NPI 1518622869 · General Practice Dentistry · Stone Mountain, GA
Smile Source Atlanta East is a General Practice Dentistry organization in Stone Mountain, GA (NPI 1518622869).
Provider details
- NPI number
- 1518622869
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Keonka Williams, Business Manager(404) 897-1699
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1147 S Hairston Rd Ste a
Stone Mountain, GA 30088-2757
Phone: (678) 515-4200
Fax: (678) 515-4201
Street-level locationGet directions
Mailing address
1100 Peachtree St Ne Ste 680
Atlanta, GA 30309-4516
Registry dates
- Enumerated
- 2021-11-02
- Last updated
- 2021-11-02
- Certified
- 2021-11-02
Frequently asked questions
- What is Smile Source Atlanta East's NPI number?
- Smile Source Atlanta East's National Provider Identifier (NPI) is 1518622869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Smile Source Atlanta East?
- Smile Source Atlanta East is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Smile Source Atlanta East located?
- Smile Source Atlanta East's practice location on file with NPPES is 1147 S Hairston Rd Ste a, Stone Mountain, GA 30088-2757.
- What is Smile Source Atlanta East's phone number?
- The practice phone number listed in the NPPES registry for Smile Source Atlanta East is (678) 515-4200.
- Who is the authorized official for Smile Source Atlanta East?
- The authorized official listed on Smile Source Atlanta East's NPPES record is Keonka Williams, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Smile Source Atlanta East's NPI active?
- Yes — Smile Source Atlanta East's NPI (1518622869) is active in the NPPES registry as of the last update on 2021-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.