NPI age
12 years
Enumerated 2013-10-30
● Active Type 2 · Organization
Patriots Park Dental
Patriots Park Dental is 1 of 4309 dentist organizations in Georgia.
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moreno
Owner
Last NPPES update
2024-06-17
Source: monthly bulk 2026-05
How this organization compares
Across 4309 active dentist providers in Georgia.
NPI age
12 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 13% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-10Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
2054 Warrior Way
Grovetown, GA 308138132
Mailing address
2054 Warrior Way
Grovetown, GA 308138132
Authorized official
Thomas Moreno, DDS
Owner
📞 7066640744
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Josi Giovinazzo Dentist NPI 1609556984
- Thomas Moreno, DDS Dentist NPI 1487633756
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.
-
Durable Medical Equipment & Medical SuppliesDefinition to come...
Practice context
Multi-provider organization. 2 individual providers 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.