| Stockbridge Dental Smiles 2 Llc | |
|
175 Country Club Dr Bldg 300b Stockbridge GA 30281-7388 | |
| (678) 565-9452 | |
| Not Available |
| Full Name | Stockbridge Dental Smiles 2 Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 175 Country Club Dr Bldg 300b, Stockbridge, Georgia |
| Authorized Official Name and Position | Praveen Gudipati (OWNER) |
| Authorized Official Contact | 7702050466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stockbridge Dental Smiles 2 Llc 2705 Azalea Bluff Dr Cumming GA 30041-3207 Ph: (404) 966-7766 | Stockbridge Dental Smiles 2 Llc 175 Country Club Dr Bldg 300b Stockbridge GA 30281-7388 Ph: (678) 565-9452 |
| NPI Number | 1295614121 |
|---|---|
| Provider Enumeration Date | 08/27/2025 |
| Last Update Date | 08/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295614121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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