P Praxis·MD
● Active Type 1 · Individual

Ashley Megan Gagnon, DMD, MD

Oral & Maxillofacial Surgery·Atlanta, GA· NPI 1255072583 · Enumerated 2022 · 4 years on NPI
Gagnon is 1 of 13 oral & maxillofacial surgery providers in Atlanta and 1 of 48 in Georgia.
NPI age
4 years
Enumerated 2022-04-01
Primary specialty
Oral & Maxillofacial Surgery
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-01-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 48 active oral & maxillofacial surgery providers in Georgia.

NPI age
4 years
↓ 12 yr below median (16 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
2
In the 58% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-04Enumerated in NPPES
2022 2026

Where they practice

Practice location
1365 Clifton Rd Ne
Atlanta, GA 303221013
📞 4047784500
Mailing address
1364 Clifton Rd Ne
Atlanta, GA 303221059
📞 4047122000

Specialties

  • Oral & Maxillofacial Surgery Primary
    Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained...
    GA license #17634 taxonomy 204E00000X
  • Dentist
    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 #DN123028 taxonomy 122300000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 439 other active providers share 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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