Organization
SNELLVILLE DENTAL SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVEEN R GUDIPATI DMD (OWNER)
(404) 966-7766
Entity
Organization
Contact information
Practice address
2992 MAIN ST W STE A100, SNELLVILLE, GA 30078-5764
(770) 972-1039
Mailing address
2705 AZALEA BLUFF DR, CUMMING, GA 30041-3207
(404) 966-7766
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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