Organization Active NPI

Cumming Dental Smiles

  • Dentist
  • Cumming, GA
National Provider Identifier
1720765647
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CUMMING DENTAL SMILES
Practice address
5770 Bethelview Rd Ste 700E
Cumming, GA 30040-0901
Phone
(770) 205-0466
NPI assigned
Jul 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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
Dentist Owner
Phone
(404) 966-7766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5770 Bethelview Rd Ste 700E
Cumming, GA 30040-0901

Mailing address

5770 Bethelview Rd Ste 700E
Cumming, GA 30040-0901
Phone (770) 205-0466

National Provider Directory

National Provider Directory

Locations

5770 Bethelview Rd
Ste 700E
Cumming, GA 30040
Phone (770) 205-0466

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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": "1720765647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 BETHELVIEW RD STE 700E",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400901",
            "telephone_number": "770-205-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 BETHELVIEW RD STE 700E",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400901",
            "telephone_number": "770-205-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMMING DENTAL SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-01",
        "status": "A",
        "authorized_official_last_name": "GUDIPATI",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "404-966-7766",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • 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.