Organization
SANDY SPRINGS SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVEEN R GUDIPATI DMD (OWNER/MEMBER)
(404) 966-7766
Entity
Organization
Contact information
Practice address
5252 ROSWELL RD STE 105, ATLANTA, GA 30342-1969
(404) 252-5252
(678) 666-1144
Mailing address
5252 ROSWELL RD STE 105, ATLANTA, GA 30342-1969
(404) 252-5252
(678) 666-1144
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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