Smyrna Dental Smiles

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMYRNA DENTAL SMILES

Practice address

3240 S Cobb Dr SE Ste 100
Smyrna, GA 30080-4180

Phone

(770) 801-1641

NPI assigned

Mar 19, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Praveen R Gudipati, DMD

Title

Owner

Phone

(404) 966-7766

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1013718873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 AZALEA BLUFF DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300413207",
            "telephone_number": "404-966-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 S COBB DR SE STE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804180",
            "telephone_number": "770-801-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMYRNA DENTAL SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "GUDIPATI",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-966-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.