Individual provider · Type 1 NPI

Jyothirmayi Mamidi

Dentist · Sandy Springs, GA

NPI number 1417804907 Active

Practice location

4600 Roswell Rd Unit C120
Sandy Springs, GA 30342-3189

Call (404) 341-9593 Map

Mailing address

3812 Mine Creek Ln
Marietta, GA 30062-5884

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	DN124083 (GA)

Dentist: 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1417804907

Jyothirmayi Mamidi's National Provider Identifier is 1417804907, issued on Mar 13, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Sandy Springs, GA. The record was last updated on Mar 13, 2026.