P Praxis·MD
● Active Type 1 · Individual

Larry Jay Hanson, DDS

Dentist·Fort Gordon, GA· NPI 1366424624 · Enumerated 2005 · 20 years on NPI
Hanson is 1 of 3 dentist providers in Fort Gordon and 1 of 358 in Georgia.
NPI age
20 years
Enumerated 2005-11-14
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
IA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 358 active dentist providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
1
In the 25% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-11Enumerated in NPPES
2005 2026

Where they practice

Practice location
Bldg 38717 38th Street, Usa Dentac
Fort Gordon, GA 309055660
📞 7067876927fax 7067872082
Mailing address
Bldg 38717 38th Street, Usa Dentac
Fort Gordon, GA 309055660
📞 7067876927fax 7067872082

Specialties

  • Dentist Primary
    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
    IA license #06671 taxonomy 1223S0112X
  • 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...
    IA license #06671 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 2 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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