P Praxis·MD
● Active Type 1 · Individual

DR. Mirrial Jane Moses, D.M.D.

Dentist·Augusta, GA· NPI 1194807545 · Enumerated 2006 · 19 years on NPI
Moses is 1 of 113 dentist providers in Augusta and 1 of 2660 in Georgia.
NPI age
19 years
Enumerated 2006-10-19
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
1039 11th St
Augusta, GA 309012873
📞 7067224008fax 7067228833
Mailing address
1039 11th St
Augusta, GA 309012873
📞 7067224008fax 7067228833

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 #DN010270 taxonomy 122300000X

Identifiers

TypeValueNotes
05 (GA) 00315246A

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 2 new dentist providers have been added in Augusta 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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