P Praxis·MD
● Active Type 1 · Individual

DR. Amelya R. Hardaway, DDS

Dentist·Marietta, GA· NPI 1184836744 · Enumerated 2007 · 19 years on NPI
Hardaway is 1 of 127 dentist providers in Marietta and 1 of 2660 in Georgia.
NPI age
19 years
Enumerated 2007-05-04
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
GA, TX, TN
3 states
Status
Active
No deactivations on record
Last NPPES update
2014-11-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
3 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
1721 Powder Springs Rd Sw Ste 103, Coast Dental - Cheatham Hill
Marietta, GA 300644880
📞 7702930605fax 7702930606
Mailing address
2595 Central Ave
Memphis, TN 381045905
📞 9012608551fax 9012608590

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    GA license #DN014519 taxonomy 122300000X
  • Dentist
    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.
    TX license #23126TN license #9061 taxonomy 1223G0001X

Identifiers

TypeValueNotes
05 (TN) 1516040
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new dentist provider has been added in Marietta in the last 180 days. See all →
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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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