| Grayson Pediatric Dentistry, P.C. | |
|
2594 Loganville Hwy Suite 106 Grayson GA 30017-7848 | |
| (678) 682-9819 | |
| Not Available |
| Full Name | Grayson Pediatric Dentistry, P.C. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2594 Loganville Hwy, Grayson, Georgia |
| Authorized Official Name and Position | Asha Yamini Ponugoti (OWNER) |
| Authorized Official Contact | 6786135095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grayson Pediatric Dentistry, P.C. 12792 Waterside Dr Alpharetta GA 30004-7338 Ph: (678) 613-5095 | Grayson Pediatric Dentistry, P.C. 2594 Loganville Hwy Suite 106 Grayson GA 30017-7848 Ph: (678) 682-9819 |
| NPI Number | 1598067993 |
|---|---|
| Provider Enumeration Date | 11/17/2010 |
| Last Update Date | 11/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598067993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN013843 (Georgia) | Primary |
Comfort Dental Studio Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2219 Loganville Hwy, Grayson, GA 30017 Phone: 678-372-1800 Fax: 678-377-0740 |
Calm Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1075 Cooper Rd Ste 101, Grayson, GA 30017 Phone: 470-474-2256 |
Erin Pickwick, DMD, PC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2023 Grayson Hwy Ste 203, Grayson, GA 30017 Phone: 678-758-6178 |
Shun Hsu DDS LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1132 Athens Hwy, Suite 207, Grayson, GA 30017 Phone: 678-512-0261 Fax: 678-512-0262 |
Grayson Dental Associates, LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2340 Longanville Hwy, Suite A102, Grayson, GA 30017 Phone: 770-513-0046 Fax: 770-513-3391 |
Grace Pediatric Dental Care LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2115 Loganville Hwy Ste 101, Grayson, GA 30017 Phone: 470-508-0125 |