NPIMap

Organization Active NPI

Duluth Dental Smiles LLC

  • General Practice Dentistry
  • Duluth, GA
National Provider Identifier
1760267819
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DULUTH DENTAL SMILES LLC
Practice address
6601 Sugarloaf Pkwy Ste 250
Duluth, GA 30097-4936
Phone
(404) 966-7766
NPI assigned
Aug 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Dr. 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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6601 Sugarloaf Pkwy Ste 250
Duluth, GA 30097-4936

Mailing address

6601 Sugarloaf Pkwy Ste 250
Duluth, GA 30097-4936
Phone (404) 966-7766

National Provider Directory

National Provider Directory

Locations

6601 Sugarloaf Pkwy
Ste 250
Duluth, GA 30097
Phone (404) 966-7766

Practitioners & affiliated clinicians

Practitioners 1

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": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1760267819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 SUGARLOAF PKWY STE 250",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974936",
            "telephone_number": "404-966-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 SUGARLOAF PKWY STE 250",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974936",
            "telephone_number": "404-966-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULUTH DENTAL SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "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_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": []
}

Other providers in Duluth, GA

Sources for this page

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