Smoke Rise Dental

Primary specialty

DentistTaxonomy code 122300000X

License

DN013813 Issued in GA

Legal business name

SMOKE RISE DENTAL

Practice address

5500 Lilburn Stone Mountain Rd Ste a
Stone Mountain, GA 30087-2873

Phone

(770) 923-5500

Fax

(770) 559-9295

NPI assigned

Nov 10, 2014

Organization subpart

No

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

Authorized official

Name

Jennifer Jordan Rogers

Title

Credentialing Specialist

Phone

(470) 801-4637

Specialties & licenses 2

Addresses

Other names 1

• Smoke Rise Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hassan Ali Moeti, DMD

  • Dentist
  • Stone Mountain, GA
  • NPI 1639242373
  NPD (past)

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1992101539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 LILBURN STONE MOUNTAIN RD STE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300872873",
            "telephone_number": "770-923-5500",
            "fax_number": "770-559-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 LILBURN STONE MOUNTAIN RD STE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300872873",
            "telephone_number": "770-923-5500",
            "fax_number": "770-559-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOKE RISE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "470-801-4637"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013813",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smoke Rise Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leiceta M Smith, PCA/HHA
• Lionel J Smith
• Roshonda A Smith
• Shantel Smith
• Smoke Rise Dental
• Smokerise Family Medical Assoc
• Elizabeth Imade Sobanjo, O.D
• Scott Sohn, RDN
• Omotunde Oyewunmi Solaru, B.PHARM
• Solid Foundation Christian Academy

• Dentist in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.