Active NPI
Anjana Krishnan, DMD
- Pediatric Dentistry
- Buford, GA
National Provider Identifier
1679317754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN123585
- Practice address
- 4530 Nelson Brogdon Blvd
Buford, GA 30518-5412 - Phone
- (770) 965-2340
- NPI assigned
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN123585 | GA | Primary |
Addresses
Primary practice location
4530 Nelson Brogdon Blvd
Buford, GA 30518-5412
Mailing address
4470 Hastings Dr
Cumming, GA 30041-5869
Phone (678) 943-3748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1679317754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4470 HASTINGS DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300415869",
"telephone_number": "678-943-3748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 NELSON BROGDON BLVD",
"city": "BUFORD",
"state": "GA",
"postal_code": "305185412",
"telephone_number": "770-965-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISHNAN",
"first_name": "ANJANA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-24",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "DN123585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.