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Dallas Dental Smiles

NPI 1548773773ActiveOrganization· Dentist, General Practice· Dallas, GA

Dentist, General Practice in Dallas, Georgia, registered in NPPES in November 2017. The authorized official on file is Praveen Reddy Gudipati, Owner Dentist.

Overview

NPI1548773773
StatusActive
Entity typeOrganization
NPI issuedNov 9, 2017
Last updated in NPPESMay 12, 2025
Certified by providerMay 12, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001XDNO13554GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, General Practice providers in Dallas

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