LAKE LANIER SMILES
NPI 1235589995
Clinic/Center - Dental in Buford, GA

Active since June 14, 2016
4965 LANIER ISLANDS PKWY, SUITE 105, BUFORD, GA 30518(770) 831-0559 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2025, Jun 14, 2016 (2 updates tracked since 2016).

About Lake Lanier Smiles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE LANIER SMILES (NPI 1235589995) is a healthcare organization registered as a dental in Buford, Georgia and active in the NPI registry since June 2016. The organization lists Praveen Reddy Gudipati, Dentist Owner, as its authorized official.

NPPES Registry Identity

NPI1235589995
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLAKE LANIER SMILES
Location Address4965 LANIER ISLANDS PKWY, SUITE 105Buford, GA 30518-1700
Mailing Address4965 Lanier Islands Pkwy, Suite 105Buford, GA 30518-1700 · (770) 831-0559
Organization SubpartNo
Authorized OfficialPraveen Reddy GudipatiDentist Owner · (770) 205-0466
Enumeration DateJune 14, 2016
Last NPPES UpdateMay 12, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
NPI 1235589995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4965 LANIER ISLANDS PKWY, Buford, GA 30518

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
4965 LANIER ISLANDS PKWY, SUITE 104
BUFORD, GA 30518
Optometrist
4965 LANIER ISLANDS PKWY, SUITE 104
BUFORD, GA 30518

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Lanier Smiles's NPI number?

The NPI number for Lake Lanier Smiles is 1235589995. It was assigned to this organization in the NPPES registry on June 14, 2016.

Where is Lake Lanier Smiles located?

Lake Lanier Smiles is located at 4965 Lanier Islands Pkwy Suite 105, Buford, GA 30518. The listed phone number is (770) 831-0559.

What is Lake Lanier Smiles's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Lake Lanier Smiles was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.