Roswell Dental Smiles

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ROSWELL DENTAL SMILES

Practice address

910 Woodstock Rd Ste 110
Roswell, GA 30075-8217

Phone

(770) 518-7475

NPI assigned

May 16, 2023

Last updated

May 29, 2023By 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. Saranyadevi Sakthivadivel, DMDNPI 1992180111

Title

General Dentist

Phone

(267) 283-8288

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, and the practitioner matching its NPPES authorized official.

• Saranyadevi Sakthivadivel, DMD

  • General Practice Dentistry
  • Roswell, GA
  • NPI 1992180111
  NPD Authorized official

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685318400000",
    "number": "1962193359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4362 EDNA LN NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300620010",
            "telephone_number": "267-283-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WOODSTOCK RD STE 110",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300758217",
            "telephone_number": "770-518-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSWELL DENTAL SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A",
        "authorized_official_last_name": "SAKTHIVADIVEL",
        "authorized_official_first_name": "SARANYADEVI",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "267-283-8288",
        "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": []
}

• Deborah M. Rossignol, LCSW, ACSW
• Roswell Center for Foot & Ankle Surgery, LLC
• Roswell Center for Nursing and Healing LLC
• Roswell Cypress LLC (Roswell Nursing & Rehab Center)
• Roswell Dental LLC (Roswell Complete Dentistry)
• Roswell Dental Studio PC
• Roswell Emergency Care Center
• Roswell Eye Clinic,Inc
• Roswell Family Dentistry PC
• Roswell Health & Injury Center, Inc.

• Dental Clinic/Center in Roswell, GA
• Providers in Roswell, 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 May 29, 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.