Grayson Pediatric Dentistry, P.c.
Pediatric Dental Clinic
2594 Loganville Hwy, Suite 106, Grayson
Georgia, 30017-7848
678-682-9819 Maps & DirectionsGrayson Pediatric Dentistry, P.c. is a Pediatric Dental Clinic in Grayson, Georgia. It is located at 2594 Loganville Hwy, Suite 106, Grayson, GA and its contact number is 678-682-9819. The authorized person for Grayson Pediatric Dentistry, P.c. is Dr. Asha Yamini Ponugoti
who is Owner of the clinic and their contact number is 678-613-5095. The primary license number for Grayson Pediatric Dentistry, P.c. is DN013843 (Pediatric Dentistry) in Georgia.
Grayson Pediatric Dentistry, P.c. Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Grayson Pediatric Dentistry, P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Grayson Pediatric Dentistry, P.c. |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 2594 Loganville Hwy, Suite 106, Grayson,
Georgia, 30017-7848 |
| Phone: | 678-682-9819 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Asha Yamini Ponugoti |
| Position: | Owner |
| Contact Number: | 678-613-5095 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Grayson Pediatric Dentistry, P.c. clinic are as mentioned below.
| NPI Number: | 1598067993 |
| NPI Enumeration Date: | 17 Nov, 2010 |
| NPI Last Update On: | 17 Nov, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grayson Pediatric Dentistry, P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | DN013843 | Georgia | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Grayson Pediatric Dentistry, P.c.
12792 Waterside Dr,
Alpharetta, Georgia |
| Zip: | 30004-7338 |
| Phone Number: | 678-613-5095 |
Patients can reach Grayson Pediatric Dentistry, P.c. at
2594 Loganville Hwy, Suite 106, Grayson, Georgia or can
call to book an appointment on 678-682-9819.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.