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GRAYSON PEDIATRIC DENTISTRY, P.C.
NPI 1598067993
Dentist - Pediatric Dentistry in Grayson, GA

Active since November 17, 2010
2594 LOGANVILLE HWY, SUITE 106, GRAYSON, GA 30017(678) 682-9819 Get Directions Write a Review

NPPES record last updated: November 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grayson Pediatric Dentistry, P.c. NPPES

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

GRAYSON PEDIATRIC DENTISTRY, P.C. (NPI 1598067993) is a healthcare organization registered as a pediatric dentistry in Grayson, Georgia and active in the NPI registry since November 2010. The organization lists Asha Yamini Ponugoti, Owner, as its authorized official.

NPPES Registry Identity

NPI1598067993
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameGRAYSON PEDIATRIC DENTISTRY, P.C.
Location Address2594 LOGANVILLE HWY, SUITE 106Grayson, GA 30017-7848
Mailing Address12792 Waterside DrAlpharetta, GA 30004-7338 · (678) 613-5095
Phone(678) 682-9819
Organization SubpartNo
Authorized OfficialAsha Yamini PonugotiOwner · (678) 613-5095
Enumeration DateNovember 17, 2010
✔ NPI 1598067993 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.
2594 LOGANVILLE HWY, Grayson, GA 30017
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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 3

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

MICHELE A AGUAYO MD
Family Medicine
2594 LOGANVILLE HWY
GRAYSON, GA 30017
Gwinnett County (678) 225-4999
GRAYSON PRIMARY CARE LLC
Family Medicine
2594 LOGANVILLE HWY, SUITE 101
GRAYSON, GA 30017
Gwinnett County (678) 225-4999
DR. ASHA YAMINI PONUGOTI DDS
Dentist (Pediatric Dentistry)
2594 LOGANVILLE HWY, SUITE 106
GRAYSON, GA 30017
Gwinnett County (678) 682-9819

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 Grayson Pediatric Dentistry, P.C.'s NPI number?

The NPI number for Grayson Pediatric Dentistry, P.C. is 1598067993. It was assigned to this organization in the NPPES registry on November 17, 2010.

Where is Grayson Pediatric Dentistry, P.C. located?

Grayson Pediatric Dentistry, P.C. is located at 2594 Loganville Hwy Suite 106, Grayson, GA 30017. The listed phone number is (678) 682-9819.

What is Grayson Pediatric Dentistry, P.C.'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 Grayson Pediatric Dentistry, P.C. was last updated on November 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.