Grant Park Dental Group PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013218 Issued in GA

Legal business name

GRANT PARK DENTAL GROUP PC

Practice address

465 Boulevard SE Ste 207a
Atlanta, GA 30312-3483

Phone

(404) 624-1230

Fax

(404) 624-1210

NPI assigned

Dec 28, 2010

Organization subpart

No

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

Authorized official

Name

Ashish Pravin Vakharia, DMD

Title

President

Phone

(412) 716-7907

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Joelle Goggans, D.D.S

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1477907707
  NPD (past)
• Zelda Marie Pittman, DDS

  • Dentist
  • Atlanta, GA
  • NPI 1497858716
  NPD (past)

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1679877005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 BOULEVARD SE STE 207A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123483",
            "telephone_number": "404-624-1230",
            "fax_number": "404-624-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 BOULEVARD SE STE 207A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123483",
            "telephone_number": "404-624-1230",
            "fax_number": "404-624-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT PARK DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "VAKHARIA",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_middle_name": "PRAVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-716-7907",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013218",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia E Granger, PT, DPT
• John Michael Gransbach, DNP, APRN, PMHNP-BC
• Francesca Gransberry
• Grant Medical Consulting LLC
• Grant Park Counseling Group, LLC
• Grant Park Family Health Center, Inc.
• Robyn Grant-Perez
• Adelaide Grant
• Alaina Michelle Grant, FNP-C
• Amy Grant, FNP

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.