P Praxis·MD
● Active Type 1 · Individual

DR. Tara Tewogbade, DDS

Dentist·Snellville, GA· NPI 1447454236 · Enumerated 2007 · 18 years on NPI
Tewogbade is 1 of 9 dentist providers in Snellville and 1 of 526 in Georgia.
NPI age
18 years
Enumerated 2007-06-13
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-11-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 526 active dentist providers in Georgia.

NPI age
18 years
≈ at median (17 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
3966 Annistown Rd
Snellville, GA 300396970
📞 7704694192
Mailing address
3966 Annistown Rd
Snellville, GA 300396970
📞 7704694192

Specialties

  • Dentist Primary
    That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
    GA license #DN013995 taxonomy 1223X0400X
  • 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...
    NC license #8254 taxonomy 122300000X

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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