GRAYSON PEDIATRIC DENTISTRY, P.C. is a pediatric dentistry dentist in Grayson, GA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. GRAYSON PEDIATRIC DENTISTRY, P.C. NPI is 1598067993. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2594 LOGANVILLE HWY SUITE 106 GRAYSON, GA ZIP 30017-848 Phone: (678) 682-9819
The provider's authorized official is Asha Yamini Ponugoti . The authorized official title is Owner and has the following contact phone number (678) 613-5095.
The enumeration date for this NPI number is 11/17/2010 and was last updated on 11/17/2010.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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