Kia-Symone Surrell, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN123743 Issued in GA

Practice address

1833 Delowe Dr SW BLDG a
Atlanta, GA 30311-4701

Phone

(404) 361-7333

Fax

(404) 600-6095

NPI assigned

May 28, 2024

Last updated

May 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kia Symone Surrell Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1376383323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3179 ABBEY DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315477",
            "telephone_number": "510-927-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 DELOWE DR SW BLDG A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303114701",
            "telephone_number": "404-361-7333",
            "fax_number": "404-600-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURRELL",
        "first_name": "KIA-SYMONE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIA",
            "last_name": "SURRELL",
            "middle_name": "SYMONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dentist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.