Provider Demographics
NPI:1740675925
Name:YOGI DENTAL GROUP
Entity type:Organization
Organization Name:YOGI DENTAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:UDAY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:770-375-0120
Mailing Address - Street 1:3885 MUNDY MILL RD
Mailing Address - Street 2:STE 116
Mailing Address - City:OAKWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30566-3432
Mailing Address - Country:US
Mailing Address - Phone:678-848-0330
Mailing Address - Fax:
Practice Address - Street 1:3885 MUNDY MILL RD
Practice Address - Street 2:STE 116
Practice Address - City:OAKWOOD
Practice Address - State:GA
Practice Address - Zip Code:30566-3432
Practice Address - Country:US
Practice Address - Phone:678-848-0330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-03
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADNO13254122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty