IndividualActive
Asha Yamini Ponugoti, DDS
NPI 1558569459 · Pediatric Dentistry · Grayson, GA
Provider details
- NPI number
- 1558569459
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- DN013843 (GA)
Specialties & taxonomies
Dental Providers
Practice location
2594 Loganville Hwy
Suite 106
Grayson, GA 30017-7848
Phone: (678) 682-9819
Approximate (ZIP-level) locationGet directions
Mailing address
2594 Loganville Hwy
Grayson, GA 30017-7848
Registry dates
- Enumerated
- 2007-07-03
- Last updated
- 2013-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.