DKW Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

DN013174 Issued in GA

Legal business name

DKW DENTISTRY

Practice address

4500 West Village PL SE
Suite 2015
Smyrna, GA 30080-9238

Phone

(404) 355-6875

Fax

(404) 355-6875

NPI assigned

Aug 9, 2007

Last updated

Aug 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kingsly Dione White, DDS

Title

Dentist

Phone

(404) 355-6875

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1811188287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 WEST VILLLAGE PLACE",
            "address_2": "SUITE 2015",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "404-355-6875",
            "fax_number": "404-355-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 WEST VILLAGE PL SE",
            "address_2": "SUITE 2015",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300809238",
            "telephone_number": "404-355-6875",
            "fax_number": "404-355-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DKW DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KINGSLY",
        "authorized_official_middle_name": "DIONE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "404-355-6875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin C Dircks, MD
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• Kimberly Shawn Dobson
• Jody R Dodson, APC, CTP, NCC
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• Jeny Fernanda Dominguez Castillo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.