Kimberly Anne Peters, DMD
Dentist in Conyers, GA. Individual provider (NPI-1).
NPI number1194166306
StatusActive
Last updated in NPPESOct 27, 2015
Details
- NPI
- 1194166306
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Anne Peters
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 16, 2013
- Last updated
- Oct 27, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | dn014630 | GA | Yes |
Practice location
1253 Commercial Dr SwConyers, GA 30094-5987
Phone 706-294-3004
Mailing address
1100 Howell Mill Rd NwUnit 403
Atlanta, GA 30318-8640
Phone 706-294-3004
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