LAKE LANIER SMILES
NPI 1235589995
Clinic/Center - Dental in Buford, GA

NPI Status: Active since June 14, 2016

Contact Information

4965 LANIER ISLANDS PKWY
SUITE 105
BUFORD, GA
ZIP 30518
Phone: (770) 831-0559

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  • Organization
  • Clinic/Center
  • Dental

About LAKE LANIER SMILES

This page provides the complete NPI Profile along with additional information for Lake Lanier Smiles, a provider established in Buford, Georgia operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1235589995 assigned on June 2016. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated May 2025. The authorized official of this NPI record is Praveen Reddy Gudipati (Dentist Owner)

NPI
1235589995
Provider Name
LAKE LANIER SMILES
Entity Type
Organization
Location Address
4965 LANIER ISLANDS PKWY SUITE 105 BUFORD, GA 30518
Location Phone
(770) 831-0559
Mailing Address
4965 LANIER ISLANDS PKWY SUITE 105 BUFORD, GA 30518
Mailing Phone
(770) 831-0559
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-14-2016
Last Update Date
05-12-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PRAVEEN REDDY GUDIPATI

Authorized Official Title
DENTIST OWNER
Authorized Official Phone
(770) 205-0466

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235589995
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
226510818918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 0 + 8 + 1 + 8 + 9 + 1 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1235589995 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750329595DR. REBECCA CHASTEEN SOSEBEE O.D.
Individual
Optometrist4965 LANIER ISLANDS PKWY SUITE 104
BUFORD, GA 30518
(770) 932-9221
1508042375ALL EYES VISION CARE, PC
Organization
Optometrist4965 LANIER ISLANDS PKWY SUITE 104
BUFORD, GA 30518
(770) 932-9221

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235589995, enumerated in the NPI registry as an "organization" on June 14, 2016

The provider is located at 4965 Lanier Islands Pkwy Suite 105 Buford, Ga 30518 and the phone number is (770) 831-0559

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

This NPI record was last updated on June 14, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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