P Praxis·MD
● Active Type 1 · Individual

Carlos A Garza Gongora, DDS

Student in an Organized Health Care Education/Training Program·Woodstock, GA· NPI 1255439840 · Enumerated 2006 · 19 years on NPI
Garza Gongora is 1 of 11 student in an organized health care education/training program providers in Woodstock and 1 of 6569 in Georgia.
NPI age
19 years
Enumerated 2006-09-20
Primary specialty
Student in an Organized Health Care Education/Training Program
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-08-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 6569 active student in an organized health care education/training program providers in Georgia.

NPI age
19 years
↑ 17 yr above median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 6% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Practice location
2320 Towne Lake Parkway, Building 1300 Ste 100
Woodstock, GA 30189
📞 6784455444fax 6784455552
Mailing address
2320 Towne Lake Parkway, Building 1300 Ste 100
Woodstock, GA 30189
📞 6784455444fax 6784455552

Specialties

  • Student in an Organized Health Care Education/Training Program Primary
    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
  • Dentist
    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
    GA license #DN013700 taxonomy 1223P0221X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new student in an organized health care education/training program provider has been added in Woodstock 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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