P Praxis·MD
● Active Type 1 · Individual

DR. Richard Peter Gangwisch, D.D.S.

Dentist·Lilburn, GA· NPI 1255355145 · Enumerated 2006 · 19 years on NPI
Gangwisch is 1 of 54 dentist providers in Lilburn and 1 of 4309 in Georgia.
NPI age
19 years
Enumerated 2006-07-26
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, OH
2 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
912 Killian Hill Rd Sw, Suite 100
Lilburn, GA 300473138
📞 7709233966fax 7705648617
Mailing address
912 Killian Hill Rd Sw, Suite 100
Lilburn, GA 300473138
📞 7709233966fax 7705648617

Specialties

  • Dentist Primary
    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.
    GA license #DN008859OH license #30-015431 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new dentist provider has been added in Lilburn 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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