Saranyadevi Sakthivadivel, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015061 Issued in GA

Practice address

910 Woodstock Rd Ste 110
Roswell, GA 30075-8217

Phone

(770) 518-7475

NPI assigned

Jul 29, 2015

Last updated

May 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roswell Dental Smiles

  • Dental Clinic/Center
  • Roswell, GA
  • NPI 1962193359
  NPD Authorized official

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1992180111",
    "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": {
        "last_name": "SAKTHIVADIVEL",
        "first_name": "SARANYADEVI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Sacks
• Armita Safaie
• Safeway Behavioral Health - Southeast, P.C.
• Sage Dental Group of Georgia, LLC (Sage Dental of Roswell)
• Bradley Richard Saindon, CRNA
• Samantha Rose Salerno
• Ashar Salman, M.D.
• Frances Evalyn Salman, CCC-SLP
• Samy Samaan
• Kaitlyn Sampson, MS

• General Practice Dentistry in Roswell, GA
• Providers in Roswell, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.