Stockbridge Dental Smiles LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STOCKBRIDGE DENTAL SMILES LLC

Doing business as

Stockbridge Dental Smiles

Practice address

5473 N Henry Blvd Ste 1
Stockbridge, GA 30281-3261

Phone

(678) 807-3635

NPI assigned

Aug 27, 2025

Last updated

Aug 27, 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

Dr. Praveen Reddy Gudipati, D.M.D.NPI 1700080793

Title

Owner

Phone

(770) 205-0466

Specialties & licenses 1

Addresses

Other names 1

• STOCKBRIDGE DENTAL SMILES Doing business as

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": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1578441408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 AZALEA BLUFF DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300413207",
            "telephone_number": "770-205-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5473 N HENRY BLVD STE 1",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813261",
            "telephone_number": "678-807-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKBRIDGE DENTAL SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "GUDIPATI",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-205-0466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STOCKBRIDGE DENTAL SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Ann Stewart, LPC
• Briana Stith, PA-C
• Stockbridge Dental Group
• Stockbridge Dental LLC
• Stockbridge Dental Smiles 2 LLC (Cumming Dental Smiles)
• Stockbridge Dialysis Clinic, LLC
• Stockbridge Family Care Center
• Stockbridge Family Dental Group PC
• Stockbridge Family Dental Group PC
• Stockbridge Health & Wellness LLC

• General Practice Dentistry in Stockbridge, GA
• Providers in Stockbridge, 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 Aug 27, 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.