NPIMap

Organization Active NPI

Evercreek Dental PC

  • General Practice Dentistry
  • Lawrenceville, GA
National Provider Identifier
1487589727
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EVERCREEK DENTAL PC
Practice address
2401 Lawrenceville Hwy Ste a
Lawrenceville, GA 30044-4669
Phone
(678) 909-1970
NPI assigned
Jun 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Sudha Byreddy, DDSNPI 1700512852
Title
Dentist
Phone
(678) 909-1970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2401 Lawrenceville Hwy Ste a
Lawrenceville, GA 30044-4669

Mailing address

2701 Lawrenceville Hwy
Suite a
Lawrenceville, GA 30044
Phone (678) 909-1909

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1487589727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 LAWRENCEVILLE HWY",
            "address_2": "SUITE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30044",
            "telephone_number": "678-909-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 LAWRENCEVILLE HWY STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444669",
            "telephone_number": "678-909-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERCREEK DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "BYREDDY",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "678-909-1970",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.