DR. MARY DAWN HARVEY-GRUNDY D.M.D
NPI 1356788475
Dentist in Villa Rica, GA

Active since May 30, 2013PECOS Enrolled
105 DALLAS HWY, VILLA RICA, GA 30180(770) 459-5778(770) 459-6633 Get Directions Write a Review

NPPES record last updated: May 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Dawn Harvey-grundy D.m.d NPPES

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

DR. MARY DAWN HARVEY-GRUNDY D.M.D (NPI 1356788475) is an individual dentist in Villa Rica, Georgia, licensed in Georgia (DNO12657) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356788475
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MARY DAWN HARVEY-GRUNDYCredential: D.M.D
Location Address105 DALLAS HWYVilla Rica, GA 30180-1906
Mailing Address105 Dallas HwyVilla Rica, GA 30180-1906 · (770) 459-5778 · Fax (770) 459-6633
Fax(770) 459-6633
Sole ProprietorYes
Enumeration DateMay 30, 2013
NPI 1356788475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in GA · DNO12657
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
105 DALLAS HWY, Villa Rica, GA 30180

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mary Dawn Harvey-grundy D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
105 DALLAS HWY
VILLA RICA, GA 30180

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 Mary Harvey-grundy's NPI number?

The NPI number for Mary Harvey-grundy is 1356788475. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Where is Mary Harvey-grundy located?

Mary Harvey-grundy practices at 105 Dallas Hwy, Villa Rica, GA 30180. The listed phone number is (770) 459-5778.

What is Mary Harvey-grundy's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mary Harvey-grundy enrolled in Medicare?

Yes. Mary Harvey-grundy is registered in the Medicare PECOS enrollment system.

What insurance does Mary Harvey-grundy accept?

Health plans from BEST Life, HRI Dental & Vision, Humana, Paramount and Renaissance Dental and 1 other insurer list Mary Harvey-grundy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Harvey-grundy was last updated on May 30, 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.