Great Smile Dental is a Dental Clinic in Marietta, Georgia. It is located at 2145 Roswell Rd, Ste 120, Marietta, GA and its contact number is 770-565-1010. The authorized person for Great Smile Dental is Dr. Supriti Balyan
who is Ceo of the clinic and their contact number is 770-565-1010. The primary license number for Great Smile Dental is 011733 (General Practice) in Georgia.
Great Smile Dental Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Great Smile Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Great Smile Dental |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 2145 Roswell Rd, Ste 120, Marietta,
Georgia, 30062-0821 |
| Phone: | 770-565-1010 |
| Fax: | 770-565-1037 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Supriti Balyan |
| Position: | Ceo |
| Contact Number: | 770-565-1010 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Great Smile Dental clinic are as mentioned below.
| NPI Number: | 1457499642 |
| NPI Enumeration Date: | 01 Feb, 2007 |
| NPI Last Update On: | 29 Mar, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Great Smile Dental are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 011733 | Georgia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 350681612A | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Great Smile Dental
2145 Roswell Rd, Ste 120
Marietta, Georgia |
| Zip: | 30062-0821 |
| Phone Number: | 770-565-1010 |
| Fax Number: | 770-565-1037 |
Patients can reach Great Smile Dental at
2145 Roswell Rd, Ste 120, Marietta, Georgia or can
call to book an appointment on 770-565-1010.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.