Riverdale Dental Smiles

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RIVERDALE DENTAL SMILES

Practice address

6650 Highway 85
Riverdale, GA 30274-2382

Phone

(770) 997-6222

NPI assigned

Jul 28, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Praveen R Gudipati, DMD

Title

Owner Dentist

Phone

(404) 966-7766

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nimish Patel

  • Dentist
  • Riverdale, GA
  • NPI 1225467657
  NPD (past)

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1700769601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 HIGHWAY 85",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742382",
            "telephone_number": "770-997-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 HIGHWAY 85",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742382",
            "telephone_number": "770-997-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE DENTAL SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reubean Alvis Reynolds, M.D.
• Richard a. Stappenbeck, M.D., P.C.
• Right Choice Enterprises LLC
• Riverdale Anesthesia Associates, PC
• Riverdale Anesthesia Services LLC
• Riverdale Foot, Ankle and Leg Clinic
• Riverdale Healthcare LLC
• Riverdale Medical Center LLC
• Riverwoods Behavioral Health, LLC
• Robert T Goetzinger MD PC

• Dental Clinic/Center in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.