Organization Active NPI

Grin & Company Pediatric Dentistry LLC

  • Pediatric Dentistry
  • Acworth, GA
National Provider Identifier
1548088081
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
GRIN & COMPANY PEDIATRIC DENTISTRY LLC
Practice address
954 Seven Hills Connector Rd
Suite 108
Acworth, GA 30101
Phone
(770) 615-8040
Fax
(770) 615-6515
NPI assigned
Oct 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sarah Martin Boyles, DMDNPI 1700268141
Title
Dentist
Phone
(678) 414-8472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

954 Seven Hills Connector Rd
Suite 108
Acworth, GA 30101

Mailing address

6108 Simone St
Acworth, GA 30101-1255
Phone (678) 414-8472

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1548088081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 SIMONE ST",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301011255",
            "telephone_number": "678-414-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 SEVEN HILLS CONNECTOR RD",
            "address_2": "SUITE 108",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "30101",
            "telephone_number": "770-615-8040",
            "fax_number": "770-615-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIN & COMPANY PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "BOYLES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "678-414-8472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.