Individual provider · Type 1 NPI

Heavenly Kimes

Dentist · Conyers, GA

NPI number 1114074192 Active

Practice location

3240 Glencree Road
Conyers, GA 30012-1167

Fax (678) 413-2491

Mailing address

3240 Glenccree Road
Conyers, GA 30012-1167

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN012304 (GA)

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 requiremen…

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About NPI 1114074192

Heavenly Kimes's National Provider Identifier is 1114074192, issued on Jan 4, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Conyers, GA. The record was last updated on May 15, 2008.