P Praxis·MD
● Active Type 1 · Individual

Sunday A Fawole, DDS, MD

Dentist·Snellville, GA· NPI 1164591913 · Enumerated 2006 · 19 years on NPI
Fawole is 1 of 44 dentist providers in Snellville and 1 of 4309 in Georgia.
NPI age
19 years
Enumerated 2006-11-07
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-02-21
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
1
In the 13% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
2395 Scenic Hwy S
Snellville, GA 300783134
📞 6783776830fax 6783776836
Mailing address
2395 Scenic Hwy S
Snellville, GA 300783134
📞 6783776830fax 6783776836

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 #DNO12698 taxonomy 1223G0001X
  • Family Medicine
    The NUCC recommends this code not be used. Choose a more appropriate code.
    GA license #55514 taxonomy 207QA0505X

Identifiers

TypeValueNotes
05 (GA) 586073644E

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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