P Praxis·MD
● Active Type 1 · Individual

Shawn Mathew, DMD

Dentist·Dacula, GA· NPI 1003492281 · Enumerated 2021 · 5 years on NPI
Mathew is 1 of 22 dentist providers in Dacula and 1 of 4309 in Georgia.
NPI age
5 years
Enumerated 2021-03-19
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
MI
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-02-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
5 years
↓ 13 yr below median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-03Enumerated in NPPES
2021 2026

Where they practice

Practice location
952 Harbins Rd Ste 401
Dacula, GA 300192824
📞 4702683056
Mailing address
952 Harbins Rd Ste 401
Dacula, GA 300192824
📞 4702683056

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
5462 Memorial Dr Ste 103
Stone Mountain, GA 300833239
📞 7704691331
Location 3
2700 Martin Luther King JR Blvd
Detroit, MI 482082576
📞 3134946873

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    MI license #2951000843 taxonomy 1223G0001X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 4309 Dentist providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related