P Praxis·MD
● Active Type 2 · Organization

Eaglin Dental Group, Fayetteville

Dentist·Fayetteville, GA· NPI 1134405848 · Enumerated 2011 · 14 years on NPI
Eaglin Dental Group, Fayetteville is 1 of 4309 dentist organizations in Georgia.
NPI age
14 years
Enumerated 2011-10-26
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Denney
Owner
Last NPPES update
2012-05-10
Source: monthly bulk 2026-05

How this organization compares

Across 4309 active dentist providers in Georgia.

NPI age
14 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-10Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
692 Glynn St N Ste S
Fayetteville, GA 302146705
📞 7707162701fax 7707162718
Mailing address
692 Glynn St N Ste S
Fayetteville, GA 302146705
📞 7707162701fax 7707162718

Authorized official

Tracie Denney
Owner
📞 7707162701

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 #DN013169 taxonomy 1223G0001X
  • Dentist
    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
    GA license #DN013169 taxonomy 1223P0221X

Identifiers

TypeValueNotes
05 (GA) 777472578D

Practice context

Single-site organization. Only one practice location on file.

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 organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related