Douglasville Dental Smiles

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DOUGLASVILLE DENTAL SMILES

Practice address

3387 Highway 5 Ste D
Douglasville, GA 30135-6900

Phone

(678) 653-8998

NPI assigned

Jan 5, 2026

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, DMD

Title

Owner Dentist

Phone

(404) 966-7766

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1639035587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3387 HIGHWAY 5 STE D",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301356900",
            "telephone_number": "678-653-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3387 HIGHWAY 5 STE D",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301356900",
            "telephone_number": "678-653-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLASVILLE DENTAL SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-04",
        "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": "404-966-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Douglasville Center for Nursing and Healing LLC
• Douglasville Dental Associates, P.C.
• Douglasville Dentistry for Kids
• Douglasville Expresscare, LLC
• Douglasville Eye Clinic PC
• Douglasville FS Inc
• Douglasville Islamic Women'S Shelter and Services, Inc

• General Practice Dentistry in Douglasville, GA
• Providers in Douglasville, 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 Jan 5, 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.