NPI age
19 years
Enumerated 2007-04-18
● Active
Type 1 · Individual
DR. Myra Shivers
Shivers is 1 of 2 dentist providers in Fayetteville and 1 of 221 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 221 active dentist providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Practice location
118 N Park Dr
Fayetteville, GA 302141645
Mailing address
118 N Park Dr
Fayetteville, GA 302141645
Specialties
-
Dentist PrimaryThat specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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