P Praxis·MD
● Active Type 1 · Individual

Aldrene Manasan, DMD

Dentist·Fort Eisenhower, GA· NPI 1295213254 · Enumerated 2018 · 7 years on NPI
Manasan is 1 of 9 dentist providers in Fort Eisenhower and 1 of 2660 in Georgia.
NPI age
7 years
Enumerated 2018-08-01
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
CA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-07-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
7 years
↓ 7 yr below median (14 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
2
In the 16% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-08Enumerated in NPPES
2018 2026

Where they practice

Practice location
228 E Hospital Rd Bldg 320
Fort Eisenhower, GA 309056011
📞 7067875102
Mailing address
2110 Sylvan Lake Dr
Grovetown, GA 308135852
📞 7067875102

Specialties

  • Dentist Primary
    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...
    CA license #DDS102593 taxonomy 122300000X
  • Dentist
    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.
    CA license #DDS102593 taxonomy 1223G0001X
  • 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.
    CA license #DDS102593 taxonomy 390200000X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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