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GREAT SMILE DENTAL
NPI 1457499642
Dentist - General Practice in Marietta, GA

Active since February 01, 2007
2145 ROSWELL RD, STE 120, MARIETTA, GA 30062(770) 565-1010(770) 565-1037 Get Directions Write a Review

NPPES record last updated: March 29, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Great Smile Dental NPPES

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

GREAT SMILE DENTAL (NPI 1457499642) is a healthcare organization registered as a general practice in Marietta, Georgia and active in the NPI registry since February 2007. The organization lists Supriti Balyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457499642
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGREAT SMILE DENTAL
Location Address2145 ROSWELL RD, STE 120Marietta, GA 30062-0821
Mailing Address2145 Roswell Rd, Ste 120Marietta, GA 30062-0821 · (770) 565-1010 · Fax (770) 565-1037
Phone(770) 565-1010
Fax(770) 565-1037
Organization SubpartNo
Authorized OfficialSupriti BalyanCeo · (770) 565-1010
Enumeration DateFebruary 1, 2007
Last NPPES UpdateMarch 29, 2010
✔ NPI 1457499642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · 011733
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2145 ROSWELL RD, Marietta, GA 30062
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Other Identifiers 1

Medicaid350681612AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

SUPRITI BALYAN DDS
Dentist
2145 ROSWELL RD, SUITE 120
MARIETTA, GA 30062
Cobb County (770) 565-1010
TERMINUS MEDICAL SERVICES
General Practice
2145 ROSWELL RD
MARIETTA, GA 30062
Cobb County (770) 973-3285
RADIANCE LIGHT SYSTEMS, LLC
Clinic/Center (Health Service)
2145 ROSWELL RD
MARIETTA, GA 30062
Cobb County (770) 565-8266
DR. JUAN CARLOS RODRIGUEZ DC
Chiropractor
2145 ROSWELL RD
MARIETTA, GA 30062
Cobb County (770) 973-3285

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 Great Smile Dental's NPI number?

The NPI number for Great Smile Dental is 1457499642. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is Great Smile Dental located?

Great Smile Dental is located at 2145 Roswell Rd Ste 120, Marietta, GA 30062. The listed phone number is (770) 565-1010.

What is Great Smile Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Great Smile Dental accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Great Smile Dental as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Smile Dental was last updated on March 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.