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

Patriots Park Dental

Organization General Practice Dentistry · NPI 1689002610

Patriots Park Dental is a General Practice Dentistry in Grovetown, Georgia. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2

Practice location Address checks out

2054 Warrior Way
Grovetown, GA 30813-8132
Phone: (706) 664-0744
Fax: (706) 664-0747
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Customized Equipment (DME) Taxonomy 332BC3200X

Record details

NPI number1689002610
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Moreno — Owner · (706) 664-0744
NPI enumeratedOctober 30, 2013
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address2054 Warrior Way, Grovetown, GA 30813-8132

Other providers in Grovetown