Provider Demographics
NPI:1942218912
Name:LETT, NINA N (DMD)
Entity Type:Individual
Prefix:DR
First Name:NINA
Middle Name:N
Last Name:LETT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:NINA
Other - Middle Name:N
Other - Last Name:CAREY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:1790 PRESIDENTIAL CIR
Mailing Address - Street 2:STE B
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-5688
Mailing Address - Country:US
Mailing Address - Phone:770-972-7214
Mailing Address - Fax:770-972-7254
Practice Address - Street 1:1790 PRESIDENTIAL CIR
Practice Address - Street 2:STE B
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-5688
Practice Address - Country:US
Practice Address - Phone:770-972-7214
Practice Address - Fax:770-972-7254
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN011916122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist