Supriti Balyan, DDS

NPI 1073838561 · on the registry since 2010 · sole proprietor

Practice

Address: 2145 Roswell Rd
Suite 120
Marietta, GA 30062
Phone: (770) 565-1010
Fax: (770) 565-1037
Organisation at this address: Great Smile Dental
Oms Urgent Care Inc
Oms Primary Care Inc
Terminus Medical Services
Radiance Light Systems, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Dentist
122300000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-03-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia