MEDICARE: EVERCREEK DENTAL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1487589727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERCREEK DENTAL PC

Provider Business Mailing Address
First Line	:	2701 LAWRENCEVILLE HWY
Second Line	:	SUITE A
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30044
Country	:	US
Telephone Number	:	678-909-1909
Fax Number	:

Provider Business Practice Location Address
First Line	:	2401 LAWRENCEVILLE HWY STE A
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30044-4669
Country	:	US
Telephone Number	:	678-909-1970
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	SUDHA BYREDDY
Credential	:	DDS
Telephone Number	:	678-909-1970

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

Similar Medicare Providers

1649886102 — MANSOURI DENTAL CARE PC
Practice Location Address:

2401 LAWRENCEVILLE HWY STE A
LAWRENCEVILLE, GA
30044-4669

Practice Phone: 678-909-1970
Practice Fax:

1275287088 — SOUTHERN SMILES LAWRENCEVILLE PC
Practice Location Address:

2401 LAWRENCEVILLE HWY STE A
LAWRENCEVILLE, GA
30044-4669

Practice Phone: 678-909-1970
Practice Fax:

1457286510 — SELAMAWIT Y MAMO
Practice Location Address:

687 FORD AVE
LAWRENCEVILLE, GA
30044-5767

Practice Phone: 404-695-8026
Practice Fax:

1720912058 — MRS. HANNAH ELIZABETH BULLARD APRN, CNM
Practice Location Address:

720 OLD SNELLVILLE HWY
LAWRENCEVILLE, GA
30044-6200

Practice Phone: 770-338-1680
Practice Fax:

1306469101 — DR. RYAN BUSCH DMD
Practice Location Address:

1470 LAWRENCEVILLE HWY
LAWRENCEVILLE, GA
30044-4646

Practice Phone: --
Practice Fax:

1376354548 — CIERRA GREEN FNP-C
Practice Location Address:

2990 FIVE FORKS TRICKUM RD
LAWRENCEVILLE, GA
30044-5872

Practice Phone: 678-732-1500
Practice Fax:

Directions to “EVERCREEK DENTAL PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.