P Praxis·MD
● Active Type 1 · Individual

DR. Samer Mufid Othman, D.D.S.

Dentist·MacOn, GA· NPI 1497001630 · Enumerated 2012 · 13 years on NPI
Othman is 1 of 77 dentist providers in MacOn and 1 of 4309 in Georgia.
NPI age
13 years
Enumerated 2012-07-25
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-08-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
13 years
↓ 5 yr below median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-07Enumerated in NPPES
2012 2026

Where they practice

Practice location
4705 Northside Dr, Suite 100
MacOn, GA 312101698
📞 4782076939
Mailing address
4705 Northside Dr, Suite 100
MacOn, GA 312101698
📞 4782076939

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 #DN014686 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new dentist provider has been added in MacOn 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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