OrganizationActive
Patriots Park Dental
NPI 1689002610 · General Practice Dentistry · Grovetown, GA
Patriots Park Dental is a General Practice Dentistry organization in Grovetown, GA (NPI 1689002610).
Provider details
- NPI number
- 1689002610
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Thomas Moreno, Owner(706) 664-0744
Specialties & taxonomies
Dental Providers
- Customized Equipment (DME)332BC3200X
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
2054 Warrior Way
Grovetown, GA 30813-8132
Phone: (706) 664-0744
Fax: (706) 664-0747
Street-level locationGet directions
Mailing address
2054 Warrior Way
Grovetown, GA 30813-8132
Registry dates
- Enumerated
- 2013-10-30
- Last updated
- 2024-06-17
- Certified
- 2024-06-17
Frequently asked questions
- What is Patriots Park Dental's NPI number?
- Patriots Park Dental's National Provider Identifier (NPI) is 1689002610, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Patriots Park Dental?
- Patriots Park Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Patriots Park Dental located?
- Patriots Park Dental's practice location on file with NPPES is 2054 Warrior Way, Grovetown, GA 30813-8132.
- What is Patriots Park Dental's phone number?
- The practice phone number listed in the NPPES registry for Patriots Park Dental is (706) 664-0744.
- Who is the authorized official for Patriots Park Dental?
- The authorized official listed on Patriots Park Dental's NPPES record is Thomas Moreno, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Patriots Park Dental's NPI active?
- Yes — Patriots Park Dental's NPI (1689002610) is active in the NPPES registry as of the last update on 2024-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.