Kisha Carter DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013722 Issued in GA

Legal business name

KISHA CARTER DMD PC

Doing business as

BLUSH Dental Studio

Practice address

1203 Cleveland Ave Ste 1a
East Point, GA 30344-3417

Phone

(404) 595-5104

Fax

(404) 601-7777

NPI assigned

Sep 12, 2014

Last updated

Feb 5, 2025By 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. Kisha Carter, D.M.D.NPI 1306004288

Title

Owner

Phone

(404) 595-5104

Specialties & licenses 1

Addresses

Other names 1

• BLUSH Dental Studio Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kisha Nicole Carter, D.M.D.

  • General Practice Dentistry
  • East Point, GA
  • NPI 1306004288
  NPD Authorized official

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1821499542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 CLEVELAND AVE STE 1A",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443417",
            "telephone_number": "404-595-5104",
            "fax_number": "404-601-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 CLEVELAND AVE STE 1A",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443417",
            "telephone_number": "404-595-5104",
            "fax_number": "404-601-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISHA CARTER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-595-5104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUSH Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iva Joyce Katon-Benitez, PA
• Jasmine Kendrick
• Jaime Kim, DDS
• Sharon Diane King, NP-C
• Kingsley Agbeyegbe MD
• Enoch Kotei, M.D.
• Andy Lafontant, PA-C
• Djennie Lajeunesse
• Sharay D Lane, SLP
• Demetrius R Lemon

• General Practice Dentistry in East Point, GA
• Providers in East Point, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.