Organization Active NPI

Dawsonville Smiles LLC

  • Dental Clinic/Center
  • Dawsonville, GA
National Provider Identifier
1881287548
Registry record updated Feb 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DAWSONVILLE SMILES LLC
Doing business as
Bright Smiles
Practice address
78 Dawson Village Way N Ste 170
Dawsonville, GA 30534-5643
Phone
(678) 941-5151
NPI assigned
Feb 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2021

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

Authorized official

Name
Venkatesh L Srinivasan
Title
Director
Phone
(678) 941-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

78 Dawson Village Way N Ste 170
Dawsonville, GA 30534-5643

Mailing address

78 Dawson Village Way N Ste 170
Dawsonville, GA 30534-5643
Phone (678) 941-5151

Other names 1

  • Bright Smiles Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@brightsmilesga.com Direct

National Provider Directory

National Provider Directory

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": "1613174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613174400000",
    "number": "1881287548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 DAWSON VILLAGE WAY N STE 170",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305345643",
            "telephone_number": "678-941-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 DAWSON VILLAGE WAY N STE 170",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305345643",
            "telephone_number": "678-941-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWSONVILLE SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-13",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A",
        "authorized_official_last_name": "SRINIVASAN",
        "authorized_official_first_name": "VENKATESH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-941-5151"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@brightsmilesga.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "78 Dawson Village Way N Ste 170",
            "city": "Dawsonville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305345643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bright Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dawsonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; 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.