Norman, Kiristi

Norman, Kiristi is an individual health care provider with primary practice located at 2635 Lee Rd Ste C-4 , Lithia Springs GA 30122-3356. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Norman, Kiristi can be contacted via phone (770) 489-9141.

Contact Information

Primary practice address
2635 Lee Rd Ste C-4 Lithia Springs GA 30122-3356
Fax: (770) 489-9138
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN012862 Georgia

Profile Details

NPI number 1356425821
LBN Legal business name Norman, Kiristi
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356425821 NPPES
Other 100618 AVESIS
Other 288357 AVESIS
Other 1873153 AVESIS
Other 7404776 AVESIS
Other 9182350 AVESIS
MEDICAID 141895700A AVESIS

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