NPIMap

Organization Active NPI

Honeycreek Dental

  • Dental Clinic/Center
  • Conyers, GA
National Provider Identifier
1518706019
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HONEYCREEK DENTAL
Practice address
1151 Nortec Dr SE
Conyers, GA 30013-5833
Phone
(770) 483-0029
NPI assigned
May 23, 2024
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Dr. Sudha ByreddyNPI 1700512852
Title
DDS
Phone
(770) 483-0029

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1151 Nortec Dr SE
Conyers, GA 30013-5833

Mailing address

1151 Nortec Dr SE
Conyers, GA 30013-5833
Phone (770) 483-0029

National Provider Directory

National Provider Directory

Locations

1151 Nortec Dr SE
Conyers, GA 30013
Phone (770) 483-0029

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.

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1518706019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 NORTEC DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135833",
            "telephone_number": "770-483-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 NORTEC DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135833",
            "telephone_number": "770-483-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONEYCREEK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "BYREDDY",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "770-483-0029",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.