Praveen Reddy Gudipati in Lilburn - Dentist
Praveen Reddy Gudipati - NPI 1700080793
Praveen Reddy Gudipati is a Dentist in Lilburn, Georgia. Praveen Reddy Gudipati practices all healthcare services and medical treatments related to Dentist. The NPI Number for Praveen Reddy Gudipati is 1700080793. The last update date is 2011-08-24.
Praveen Reddy Gudipati's current location address is 3993 Lawrenceville Hwy Nw, Lilburn, Georgia. You can contact this provider via phone number 7702792020 and fax number 7702791222. The mailing address for Praveen Reddy Gudipati is 3993 Lawrenceville Hwy Nw, Lilburn, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Praveen Reddy Gudipati |
|---|---|
| Address | 3993 Lawrenceville Hwy Nw, Lilburn, Georgia |
| Phone Number | 7702792020 |
| Fax Number | 7702791222 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1700080793 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2011-08-24 |
Provider Mailing Address Detail
| Address | 3993 Lawrenceville Hwy Nw |
|---|---|
| City | Lilburn |
| State | Georgia (GA) |
| Post Code | 300472897 |
| Phone Number | 7702792020 |
| Fax Number | 7702791222 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN013554 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Praveen Reddy Gudipati's 1700080793?
The Praveen Reddy Gudipati's NPI (National Provider Identifier) Number is 1700080793. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Praveen Reddy Gudipati's facilities are geographically located?
The facilities of Praveen Reddy Gudipati are physically situated at the following location: 3993 Lawrenceville Hwy Nw, Lilburn, GA, 300472897.
What is the area of specialization for Praveen Reddy Gudipati, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Praveen Reddy Gudipati is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700080793 to Praveen Reddy Gudipati?
The Centers for Medicare & Medicaid Services assigned the 1700080793 to Praveen Reddy Gudipati on 2007-06-13.
As of what date were the details related to Praveen Reddy Gudipati most recently updated or revised?
The information pertaining to Praveen Reddy Gudipati, including its address, specialty, and other relevant details, was last updated or revised on 2011-08-24.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC