Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grayson Pediatric Dentistry, PC

Organization Pediatric Dentistry · NPI 1598067993

Grayson Pediatric Dentistry, PC is a Pediatric Dentistry in Grayson, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2594 Loganville Hwy Ste 106
Grayson, GA 30017-7848
Phone: (678) 682-9819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN013843 (GA)

Record details

NPI number1598067993
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Asha Yamini Ponugoti — Owner · (678) 613-5095
NPI enumeratedNovember 17, 2010
Last updated in NPPESNovember 17, 2010
Mailing address12792 Waterside Dr, Alpharetta, GA 30004-7338

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