NPI age
15 years
Enumerated 2010-12-28
● Active Type 2 · Organization
Grant Park Dental Group Pc
Grant Park Dental Group Pc is 1 of 4309 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Vakharia
President
Last NPPES update
2010-12-28
Source: monthly bulk 2026-05
How this organization compares
Across 4309 active dentist providers in Georgia.
NPI age
15 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-12Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
465 Boulevard Se Ste 207a
Atlanta, GA 303123483
Mailing address
465 Boulevard Se Ste 207a
Atlanta, GA 303123483
Authorized official
Ashish Pravin Vakharia, DMD
President
📞 4127167907
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Joelle Goggans, D.D.S Dentist NPI 1477907707
Specialties
-
Dentist PrimaryA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.