Organization Active NPI

Cumming Dental Smiles 2

  • Dentist
  • Cumming, GA
National Provider Identifier
1356028286
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Jul 3, 2023

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.