P Praxis·MD
● Active Type 1 · Individual

Alfonso Carlos Fernandez

Dentist·Stockbridge, GA· NPI 1336581974 · Enumerated 2013 · 12 years on NPI
Fernandez is 1 of 32 dentist providers in Stockbridge and 1 of 4309 in Georgia.
NPI age
12 years
Enumerated 2013-07-24
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-07-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
12 years
↓ 6 yr below median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-07Enumerated in NPPES
2013 2026

Where they practice

Practice location
4084 N Henry Blvd
Stockbridge, GA 302813809
📞 7704747223
Mailing address
4084 N Henry Blvd
Stockbridge, GA 302813809
📞 7704747223

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 #DN11980 taxonomy 1223G0001X

Identifiers

TypeValueNotes
05 (GA) 00818155B
01 (GA) 1205939899 NPI

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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