1. Home
  2. Directory
  3. Georgia
  4. Grovetown
  5. Dentist
  6. NPI Profile

PATRIOTS PARK DENTAL
NPI 1689002610
Dentist - General Practice in Grovetown, GA

Active since October 30, 2013
2054 WARRIOR WAY, GROVETOWN, GA 30813(706) 664-0744(706) 664-0747 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patriots Park Dental NPPES

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

PATRIOTS PARK DENTAL (NPI 1689002610) is a healthcare organization registered as a general practice in Grovetown, Georgia and active in the NPI registry since October 2013. The organization lists Thomas Moreno, Owner, as its authorized official.

NPPES Registry Identity

NPI1689002610
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePATRIOTS PARK DENTAL
Location Address2054 WARRIOR WAYGrovetown, GA 30813-8132
Mailing Address2054 Warrior WayGrovetown, GA 30813-8132 · (706) 664-0744 · Fax (706) 664-0747
Phone(706) 664-0744
Fax(706) 664-0747
Organization SubpartNo
Authorized OfficialThomas MorenoOwner · (706) 664-0744
Enumeration DateOctober 30, 2013
Last NPPES UpdateJune 17, 2024
NPPES CertifiedJune 17, 2024
✔ NPI 1689002610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X
2054 WARRIOR WAY, Grovetown, GA 30813
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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.

DR. THOMAS JOSEPH MORENO DDS
Dentist
2054 WARRIOR WAY
GROVETOWN, GA 30813
Columbia County (706) 664-0744
JOSI MARGARITE GIOVINAZZO
Dentist
2054 WARRIOR WAY
GROVETOWN, GA 30813
Columbia County (706) 664-0744

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 Patriots Park Dental's NPI number?

The NPI number for Patriots Park Dental is 1689002610. It was assigned to this organization in the NPPES registry on October 30, 2013.

Where is Patriots Park Dental located?

Patriots Park Dental is located at 2054 Warrior Way, Grovetown, GA 30813. The listed phone number is (706) 664-0744.

What is Patriots Park Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Patriots Park Dental accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Patriots Park Dental 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 Patriots Park Dental was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.