P Praxis·MD
● Active Type 1 · Individual

DR. Carissa Eve Campos, D.D.S.

Dentist·Acworth, GA· NPI 1144563560 · Enumerated 2013 · 13 years on NPI
Campos is 1 of 25 dentist providers in Acworth and 1 of 4309 in Georgia.
NPI age
13 years
Enumerated 2013-04-03
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
GA, NY
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-10-11
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
13 years
↓ 5 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 · 2013 → 2026

2013-04Enumerated in NPPES
2013 2026

Where they practice

Practice location
3384 Cobb Pkwy Nw Ste 130
Acworth, GA 301018784
📞 6785748622
Mailing address
3103 Woodwalk Trce Se
Atlanta, GA 303398475
📞 6313555716

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2265 3rd Ave
New York, NY 100352231
📞 2122896650fax 2122890280

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 #DN122551NY license #057724 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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