Supriti Balyan, DDS

Dentist · Marietta, GA

Individual Active NPI

NPI number 1073838561

Practice location

2145 Roswell Rd
Suite 120
Marietta, GA 30062-0821
Phone
(770) 565-1010
Fax
(770) 565-1037

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NPI record

NPI
1073838561
Entity type
Individual (Type 1)
Enumeration date
March 29, 2010
Last updated
March 29, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 011733 GA

About Dr. Balyan

Supriti Balyan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2145 Roswell Rd, Suite 120, Marietta, GA 30062-0821. The NPI number 1073838561 was assigned on March 29, 2010 and the record was last updated on March 29, 2010.

Dr. Balyan lists a license in the registry: #011733 (GA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Supriti Balyan, DDS?

The NPI number is 1073838561.

What is the phone number of Dr. Balyan?

The phone number listed for the practice location is (770) 565-1010.

Where is Dr. Balyan located?

2145 Roswell Rd, Suite 120, Marietta, GA 30062-0821.

What is the taxonomy code for Dr. Balyan?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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