Search › Georgia › 122300000X

Destiny Smart

NPI 1780429225 · on the registry since 2024

Practice

Address
175 N Arcadia Ave Ste 151
Decatur, GA 30030
Phone
(470) 338-5352
Organisation at this address
Ideal Dental Decatur Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia