Marietta Dental Smiles

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MARIETTA DENTAL SMILES

Practice address

2500 Dallas Hwy SW Ste 410
Marietta, GA 30064-2569

Phone

(404) 966-7766

NPI assigned

Jul 3, 2023

Last updated

Jul 3, 2023By 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 R Gudipati, DMDNPI 1700080793

Title

Owner Dentist

Phone

(404) 966-7766

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
  Authorized official Same address or phone

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": "1548947468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DALLAS HWY SW STE 410",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642569",
            "telephone_number": "404-966-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DALLAS HWY SW STE 410",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642569",
            "telephone_number": "404-966-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA DENTAL SMILES",
        "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": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marietta Counseling
• Marietta Counseling Associates
• Marietta Counseling for Children and Adults
• Marietta Counseling Practice
• Marietta Dental Associates.Inc
• Marietta Dentist
• Marietta Dermatology Associates PA
• Marietta Diagnostic Center, LLC (Marietta Imaging Center Marietta Imaging at North Cobb)
• Marietta Eye Clinic, PA
• Marietta Eye Clinic, PA (Marietta Eye Surgery)

• Dentist in Marietta, GA
• Providers in Marietta, GA by specialty
• Dentist in Georgia

• 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.