Asha Yamini Ponugoti in Grayson - Pediatric Dentistry
Asha Yamini Ponugoti - NPI 1558569459
Asha Yamini Ponugoti is a Pediatric Dentistry in Grayson, Georgia. Asha Yamini Ponugoti practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Asha Yamini Ponugoti is 1558569459. The last update date is 2013-01-15.
Asha Yamini Ponugoti's current location address is 2594 Loganville Hwy, Grayson, Georgia. You can contact this provider via phone number 6786829819. The mailing address for Asha Yamini Ponugoti is 2594 Loganville Hwy, Grayson, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Asha Yamini Ponugoti |
|---|---|
| Address | 2594 Loganville Hwy, Grayson, Georgia |
| Phone Number | 6786829819 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1558569459 |
|---|---|
| Provider Enumeration Date | 2007-07-03 |
| Last Updated Date | 2013-01-15 |
Provider Mailing Address Detail
| Address | 2594 Loganville Hwy |
|---|---|
| City | Grayson |
| State | Georgia (GA) |
| Post Code | 300177848 |
| Phone Number | 6786829819 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DN013843 |
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Definition: 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. |
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What is the unique identification code assigned to Asha Yamini Ponugoti by the Centers for Medicare & Medicaid Services?
The Asha Yamini Ponugoti has been issued the NPI (National Provider Identifier) 1558569459. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Asha Yamini Ponugoti is located?
The Asha Yamini Ponugoti is situated at the following address: 2594 Loganville Hwy, Grayson, GA, 300177848.
What is Asha Yamini Ponugoti's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Asha Yamini Ponugoti's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558569459 to Asha Yamini Ponugoti?
The Centers for Medicare & Medicaid Services assigned the 1558569459 to Asha Yamini Ponugoti on 2007-07-03.
As of what date were the details pertaining to Asha Yamini Ponugoti last refreshed?
The information related to the Asha Yamini Ponugoti, including its address, specialty, and other relevant details, was last updated on 2013-01-15.