P Praxis·MD
● Active Type 2 · Organization

Grayson Pediatric Dentistry, P.c.

Dentist·Grayson, GA· NPI 1598067993 · Enumerated 2010 · 15 years on NPI
Grayson Pediatric Dentistry, P.c. is 1 of 539 dentist organizations in Georgia.
NPI age
15 years
Enumerated 2010-11-17
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ponugoti
Owner
Last NPPES update
2010-11-17
Source: monthly bulk 2026-05

How this organization compares

Across 539 active dentist providers in Georgia.

NPI age
15 years
≈ at median (16 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-11Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
2594 Loganville Hwy, Suite 106
Grayson, GA 300177848
📞 6786829819
Mailing address
12792 Waterside Dr
Alpharetta, GA 300047338
📞 6786135095

Authorized official

Asha Yamini Ponugoti, D.D.S.
Owner
📞 6786135095

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
    GA license #DN013843 taxonomy 1223P0221X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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