Dallas Dental Smiles

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DNO13554 Issued in GA

Legal business name

DALLAS DENTAL SMILES

Practice address

455 Nathan Dean Blvd Ste 109
Dallas, GA 30132-4921

Phone

(678) 674-7176

NPI assigned

Nov 9, 2017

Last updated

May 12, 2025By 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

Praveen Reddy GudipatiNPI 1700080793

Title

Owner Dentist

Phone

(770) 205-0466

Specialties & licenses 1

Addresses

Locations

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.

• Praveen Reddy Gudipati, DMD

  • Dentist
  • Cumming, GA
  • NPI 1700080793
  NPD Authorized official

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1548773773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 NATHAN DEAN BLVD STE 109",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324921",
            "telephone_number": "678-674-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 NATHAN DEAN BLVD STE 109",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324921",
            "telephone_number": "678-674-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS DENTAL SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "GUDIPATI",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "770-205-0466"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DNO13554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Joy Curtis
• Kristin Dabbelt, M.A., CCC-SLP
• Vickie Dabrofsky
• Dallas Acworth Chiropractic PA
• Dallas Chiropractic Life Center Inc.
• Dallas Family Counseling Center
• Dallas Family Practice Center PA
• Dallas Prescription Shop, LLC
• Dallas Prescription Shop, LLC (Dallas Prescription Shop)
• Tametrius N Daniels

• General Practice Dentistry in Dallas, GA
• Providers in Dallas, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.