Woodstock Dentist LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WOODSTOCK DENTIST LLC

Practice address

8294 Highway 92 Ste 200
Woodstock, GA 30189-3672

Phone

(678) 483-5999

NPI assigned

Feb 9, 2024

Last updated

Mar 14, 2024By the provider in NPPES

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, DMDNPI 1700080793

Title

Owner

Phone

(404) 966-7766

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Praveen Reddy Gudipati, DMD

  • Dentist
  • Cumming, GA
  • NPI 1700080793
  Authorized official Same address or phone
• Vu Nguyen Tran, DMD

  • General Practice Dentistry
  • Goose Creek, SC
  • NPI 1154060846
  NPD (past)

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1316701493",
    "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": "8294 HIGHWAY 92 STE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301893672",
            "telephone_number": "678-483-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cayla Lucille Woodburn, OTR/L
• Woodpark Family Chiropractic LLC (Foothills Chiropractic & Rehab)
• Sadie Woods, RBT
• Woodstock Center for Nursing and Healing LLC
• Woodstock Cypress LLC (Woodstock Nursing and Rehabilitation Center)
• Woodstock Dentistry, PC
• Woodstock Dermatolgy, PC
• Woodstock Endoscopy Center
• Woodstock Estates
• Woodstock Eye Associates LLC

• Dental Clinic/Center in Woodstock, GA
• Providers in Woodstock, 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 14, 2024; 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.