Organization
STOCKBRIDGE DENTAL SMILES LLC
Active
Other names
STOCKBRIDGE DENTAL SMILES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVEEN REDDY GUDIPATI D.M.D. (OWNER)
(770) 205-0466
Entity
Organization
Contact information
Practice address
5473 N HENRY BLVD STE 1, STOCKBRIDGE, GA 30281-3261
(678) 807-3635
Mailing address
2705 AZALEA BLUFF DR, CUMMING, GA 30041-3207
(770) 205-0466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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