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DALLAS DENTAL SMILES
NPI 1548773773
Dentist - General Practice in Dallas, GA

Active since November 09, 2017
455 NATHAN DEAN BLVD STE 109, DALLAS, GA 30132(678) 674-7176 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2025, Nov 9, 2017 (2 updates tracked since 2017).

About Dallas Dental Smiles NPPES

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

DALLAS DENTAL SMILES (NPI 1548773773) is a healthcare organization registered as a general practice in Dallas, Georgia and active in the NPI registry since November 2017. The organization lists Praveen Reddy Gudipati, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1548773773
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDALLAS DENTAL SMILES
Location Address455 NATHAN DEAN BLVD STE 109Dallas, GA 30132-4921
Mailing Address455 Nathan Dean Blvd Ste 109Dallas, GA 30132-4921 · (678) 674-7176
Phone(678) 674-7176
Organization SubpartNo
Authorized OfficialPraveen Reddy GudipatiOwner Dentist · (770) 205-0466
Enumeration DateNovember 9, 2017
Last NPPES UpdateMay 12, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1548773773 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 · DNO13554
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.

455 NATHAN DEAN BLVD STE 109, Dallas, GA 30132
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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 UnitedHealthcare.Insurance ›

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 Dallas Dental Smiles's NPI number?

The NPI number for Dallas Dental Smiles is 1548773773. It was assigned to this organization in the NPPES registry on November 9, 2017.

Where is Dallas Dental Smiles located?

Dallas Dental Smiles is located at 455 Nathan Dean Blvd Ste 109, Dallas, GA 30132. The listed phone number is (678) 674-7176.

What is Dallas Dental Smiles's specialty?

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

What insurance does Dallas Dental Smiles accept?

Health plans from UnitedHealthcare list Dallas Dental Smiles 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 Dallas Dental Smiles was last updated on May 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.