P Praxis·MD
● Active Type 1 · Individual

DR. Lechandre Bonner

Dentist·Kennesaw, GA· NPI 1114099348 · Enumerated 2006 · 19 years on NPI
Bonner is 1 of 52 dentist providers in Kennesaw and 1 of 4309 in Georgia.
NPI age
19 years
Enumerated 2006-11-14
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-05-13
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
19 years
≈ at median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
425 Barrett Pkwy Ste 4060
Kennesaw, GA 301444949
📞 6789056300fax 6789056301
Mailing address
2019 Clovercroft Rd Nw
Acworth, GA 301017178
📞 7066279079

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 #DN012435 taxonomy 1223G0001X

Identifiers

TypeValueNotes
05 (GA) 000946536L
05 (GA) 000946536AP
05 (GA) 000946536C

Practice context

Solo or small practice. No 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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