Active NPI
Hiram Dental Smiles
- Dentist
- Hiram, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- HIRAM DENTAL SMILES
- Practice address
- 1899 Lake Rd Ste 220
Hiram, GA 30141-2293 - Phone
- (470) 666-2866
- NPI assigned
- Jul 3, 2023
- Last updated
- Jul 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Praveen R Gudipati, DMD
- Title
- Dentist Owner
- Phone
- (404) 966-7766
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
1899 Lake Rd Ste 220
Hiram, GA 30141-2293
Mailing address
1899 Lake Rd Ste 220
Hiram, GA 30141-2293
Phone (470) 666-2866
National Provider Directory
National Provider DirectoryLocations
1899 Lake Rd
Ste 220
Hiram, GA 30141
Phone (470) 210-6595
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Cumming, GA
- NPI 1700080793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688342400000",
"number": "1265119192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1899 LAKE RD STE 220",
"city": "HIRAM",
"state": "GA",
"postal_code": "301412293",
"telephone_number": "470-666-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1899 LAKE RD STE 220",
"city": "HIRAM",
"state": "GA",
"postal_code": "301412293",
"telephone_number": "470-666-2866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIRAM DENTAL SMILES",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-03",
"last_updated": "2023-07-03",
"certification_date": "2023-07-02",
"status": "A",
"authorized_official_last_name": "GUDIPATI",
"authorized_official_first_name": "PRAVEEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DENTIST OWNER",
"authorized_official_telephone_number": "404-966-7766",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hiram, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.