NPI age
19 years
Enumerated 2007-05-03
● Active
Type 1 · Individual
DR. Wilburn Taylor Dominy JR., D.M.D
Dominy is 1 of 2 dentist providers in Peachtree City and 1 of 113 in Georgia.
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 113 active dentist providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
40% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Practice location
5000 Shakerag Hl
Peachtree City, GA 302693367
Mailing address
5000 Shakerag Hl
Peachtree City, GA 302693367
Specialties
-
Dentist PrimaryThat branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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