P Praxis·MD
● Active Type 1 · Individual

Ryan Patrick Mooneyham, DDS

Dentist·Augusta, GA· NPI 1033705066 · Enumerated 2020 · 5 years on NPI
Mooneyham is 1 of 23 dentist providers in Augusta and 1 of 358 in Georgia.
NPI age
5 years
Enumerated 2020-12-14
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, IA
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 358 active dentist providers in Georgia.

NPI age
5 years
↓ 13 yr below median (18 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
25% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-12Enumerated in NPPES
2020 2026

Where they practice

Practice location
1430 John Wesley Gilbert Drive
Augusta, GA 309120001
📞 7067219744fax 7067216778
Mailing address
1120 15th Street, Gc-1161
Augusta, GA 309120001
📞 7067219744fax 7067216778

Specialties

  • Dentist Primary
    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
    GA license #DNF000472IA license #DDS-09792 taxonomy 1223S0112X

Practice context

Part of a multi-provider practice. 136 other active providers share this practice address in NPPES.

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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.

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