Snellville Dental Smiles

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SNELLVILLE DENTAL SMILES

Practice address

2992 Main St W Ste A100
Snellville, GA 30078-5764

Phone

(770) 972-1039

NPI assigned

May 12, 2025

Last updated

May 12, 2025By the provider in NPPES

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, DMDNPI 1700080793

Title

Owner

Phone

(404) 966-7766

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Praveen Reddy Gudipati, DMD

  • Dentist
  • Cumming, GA
  • NPI 1700080793
  Authorized official Same address or phone
• Jerry L. Racioppi, D.D.S.

  • Dentist
  • Snellville, GA
  • NPI 1245431485
  NPD (past)

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1891585998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 AZALEA BLUFF DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300413207",
            "telephone_number": "404-966-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2992 MAIN ST W STE A100",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785764",
            "telephone_number": "770-972-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNELLVILLE DENTAL SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-11",
        "status": "A",
        "authorized_official_last_name": "GUDIPATI",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-966-7766",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Sherlonda Smith
• Yolonda M. Smith, M.D.
• Karen Smithson, LCSW
• SN Gwinett County Radiation
• Snellivlle Medical Imaging
• Snellville DME, LLC
• Snellville Medical Group, P.C.
• Snellville Oral Surgery LLC
• Snellville Pediatrics, P.C.
• Snellville Primary Care

• Dentist in Snellville, GA
• Providers in Snellville, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.