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GWINNETT PEDIATRIC DENTISTRY
NPI 1285077933
Dentist - Pediatric Dentistry in Suwanee, GA

Active since April 12, 2013
2650 LAWRENCEVILLE SUWANEE RD, SUITE D, SUWANEE, GA 30024(678) 799-7675 Get Directions Write a Review

NPPES record last updated: April 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gwinnett Pediatric Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWINNETT PEDIATRIC DENTISTRY (NPI 1285077933) is a healthcare organization registered as a pediatric dentistry in Suwanee, Georgia and active in the NPI registry since April 2013. The organization lists Asha Yamini Ponugoti, Owner, as its authorized official.

NPPES Registry Identity

NPI1285077933
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameGWINNETT PEDIATRIC DENTISTRY
Location Address2650 LAWRENCEVILLE SUWANEE RD, SUITE DSuwanee, GA 30024-2535
Mailing Address2594 Loganville Hwy, Suite 106Grayson, GA 30017-7848
Phone(678) 799-7675
Organization SubpartNo
Authorized OfficialAsha Yamini PonugotiOwner · (678) 613-5095
Enumeration DateApril 12, 2013
✔ NPI 1285077933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in GA · DN013843
Definition
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.
2650 LAWRENCEVILLE SUWANEE RD, Suwanee, GA 30024
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GWINNETT CLINIC, LTD
Clinic/Center (Multi-Specialty)
2650 LAWRENCEVILLE SUWANEE RD
SUWANEE, GA 30024
Gwinnett County (678) 205-5000
SLEEP DISORDER CENTER @ GWINNETT CLINIC
Legal Medicine
2650 LAWRENCEVILLE SUWANEE RD, STE B
SUWANEE, GA 30024
Gwinnett County (678) 205-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwinnett Pediatric Dentistry's NPI number?

The NPI number for Gwinnett Pediatric Dentistry is 1285077933. It was assigned to this organization in the NPPES registry on April 12, 2013.

Where is Gwinnett Pediatric Dentistry located?

Gwinnett Pediatric Dentistry is located at 2650 Lawrenceville Suwanee Rd Suite D, Suwanee, GA 30024. The listed phone number is (678) 799-7675.

What is Gwinnett Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Gwinnett Pediatric Dentistry was last updated on April 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.