Doctor profile · Federal record
Dr. Heavenly Kimes
Dentist · Conyers, GA
- NPI 1114074192
- 19 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
3240 Glencree Road
Conyers, GA 300121167
(404) 713-4982
fax (678) 413-2491 - Mailing address
-
3240 Glenccree Road
Conyers, GA 300121167
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- May 15, 2008
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Georgia #DN012304
- Medicaid (3)
- GA #000898015B · GA #000898015A · GA #000898015C
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114074192. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$131
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Straumann USA LLC | 3 | $131.33 |
By nature of payment
Frequently asked questions
What is Dr. Heavenly Kimes's medical specialty?
Dr. Heavenly Kimes practices Dentist in Conyers, GA.
Where does Dr. Heavenly Kimes practice?
Dr. Heavenly Kimes practices at 3240 Glencree Road, Conyers, GA 300121167. Office phone: 4047134982.
What is Dr. Heavenly Kimes's NPI?
Dr. Heavenly Kimes's National Provider Identifier (NPI) is 1114074192, issued by NPPES.