OrganizationActive
Grayson Pediatric Dentistry, P.C.
NPI 1598067993 · Pediatric Dentistry · Grayson, GA
Grayson Pediatric Dentistry, P.C. is a Pediatric Dentistry organization in Grayson, GA (NPI 1598067993).
Provider details
- NPI number
- 1598067993
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Asha Yamini Ponugoti, Owner(678) 613-5095
- License
- DN013843 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2594 Loganville Hwy
Suite 106
Grayson, GA 30017-7848
Phone: (678) 682-9819
Street-level locationGet directions
Mailing address
12792 Waterside Dr
Alpharetta, GA 30004-7338
Registry dates
- Enumerated
- 2010-11-17
- Last updated
- 2010-11-17
Frequently asked questions
- What is Grayson Pediatric Dentistry, P.C.'s NPI number?
- Grayson Pediatric Dentistry, P.C.'s National Provider Identifier (NPI) is 1598067993, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grayson Pediatric Dentistry, P.C.?
- Grayson Pediatric Dentistry, P.C. is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Grayson Pediatric Dentistry, P.C. located?
- Grayson Pediatric Dentistry, P.C.'s practice location on file with NPPES is 2594 Loganville Hwy, Grayson, GA 30017-7848.
- What is Grayson Pediatric Dentistry, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Grayson Pediatric Dentistry, P.C. is (678) 682-9819.
- Who is the authorized official for Grayson Pediatric Dentistry, P.C.?
- The authorized official listed on Grayson Pediatric Dentistry, P.C.'s NPPES record is Asha Yamini Ponugoti, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grayson Pediatric Dentistry, P.C.'s NPI active?
- Yes — Grayson Pediatric Dentistry, P.C.'s NPI (1598067993) is active in the NPPES registry as of the last update on 2010-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.