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PROUD SMILES LLC
NPI 1821771072
Dentist - General Practice in Atlanta, GA

Active since August 14, 2023
5290 ROSWELL RD STE A130, ATLANTA, GA 30342(404) 257-0091 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Proud Smiles Llc NPPES

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

PROUD SMILES LLC (NPI 1821771072) is a healthcare organization registered as a general practice in Atlanta, Georgia and active in the NPI registry since August 2023. The organization lists Radha J Patel, Manager, as its authorized official.

NPPES Registry Identity

NPI1821771072
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROUD SMILES LLC
Location Address5290 ROSWELL RD STE A130Atlanta, GA 30342-1978
Mailing Address5290 Roswell Rd Ste A130Atlanta, GA 30342-1978 · (404) 257-0091
Phone(404) 257-0091
Organization SubpartNo
Authorized OfficialRadha J PatelManager · (404) 257-0091
Enumeration DateAugust 14, 2023
Last NPPES UpdateAugust 15, 2023
NPPES CertifiedAugust 14, 2023
✔ NPI 1821771072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
5290 ROSWELL RD STE A130, Atlanta, GA 30342
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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

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 Proud Smiles LLC's NPI number?

The NPI number for Proud Smiles LLC is 1821771072. It was assigned to this organization in the NPPES registry on August 14, 2023.

Where is Proud Smiles LLC located?

Proud Smiles LLC is located at 5290 Roswell Rd Ste A130, Atlanta, GA 30342. The listed phone number is (404) 257-0091.

What is Proud Smiles LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Proud Smiles LLC was last updated on August 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.