SANDY SPRINGS SMILES LLC NPI 1386452605

NPI Information

  • NPI: 1386452605
  • Provider Name: SANDY SPRINGS SMILES LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 5252 ROSWELL RD STE 105
    ATLANTA, GA
    ZIP 30342
  • Phone: (404) 252-5252

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NPI Details

SANDY SPRINGS SMILES LLC is a dental clinic center in Atlanta, GA. SANDY SPRINGS SMILES LLC NPI is 1386452605. The provider is registered as an organization entity type.

The provider's business location address is:

5252 ROSWELL RD STE 105
ATLANTA, GA
ZIP 30342-969
Phone: (404) 252-5252
Fax: (678) 666-1144

The provider's authorized official is Praveen R Gudipati .
The authorized official title is Owner/member and has the following contact phone number (404) 966-7766.

The enumeration date for this NPI number is 12/19/2024 and was last updated on 12/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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