Active NPI
Cumming Dental Smiles 2
- Dentist
- Cumming, GA
National Provider Identifier
1356028286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- CUMMING DENTAL SMILES 2
- Practice address
- 1735 Buford Hwy Ste 135
Cumming, GA 30041-1271 - Phone
- (470) 758-4040
- NPI assigned
- 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
- Owner Dentist
- Phone
- (404) 966-7766
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
1735 Buford Hwy Ste 135
Cumming, GA 30041-1271
Mailing address
1735 Buford Hwy Ste 135
Cumming, GA 30041-1271
Phone (470) 758-4040
National Provider Directory
National Provider DirectoryLocations
1735 Buford Hwy
Ste 135
Cumming, GA 30041
Phone (470) 758-4040
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": "1356028286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 BUFORD HWY STE 135",
"city": "CUMMING",
"state": "GA",
"postal_code": "300411271",
"telephone_number": "470-758-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 BUFORD HWY STE 135",
"city": "CUMMING",
"state": "GA",
"postal_code": "300411271",
"telephone_number": "470-758-4040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMMING DENTAL SMILES 2",
"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": "OWNER DENTIST",
"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 Cumming, 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.