P Praxis·MD
● Active Type 1 · Individual

Tanner Chase Ackley, DMD

Dentist·Fort Stewart, GA· NPI 1063205979 · Enumerated 2025 · 0 years on NPI
Ackley is 1 of 22 dentist providers in Fort Stewart and 1 of 4309 in Georgia.
NPI age
— years
Enumerated 2025-05-23
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, ME
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-08-28
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
0 years
↓ 18 yr below median (18 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2025 → 2026

2025-05Enumerated in NPPES
2025 2026

Where they practice

Practice location
501 Gulick Ave
Fort Stewart, GA 31314
📞 9124355827
Mailing address
501 Gulick Ave
Fort Stewart, GA 31314

Additional practice locations

1 secondary location on file with NPPES.

Location 2
112 Vilseck Rd, Bldg 419
Apo, AA 31315
📞 9122555327

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.
    GA license #DN123845 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

Part of a multi-provider practice. 1 other active provider shares 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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