P Praxis·MD
● Active Type 1 · Individual

DR. Jimmy L. Brock, D.M.D.

Dentist·Bowdon, GA· NPI 1497925903 · Enumerated 2008 · 18 years on NPI
Brock is 1 of 1 dentist providers in Bowdon and 1 of 2660 in Georgia.
NPI age
18 years
Enumerated 2008-03-11
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-03-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
18 years
↑ 4 yr above median (14 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-03Enumerated in NPPES
2008 2026

Where they practice

Practice location
429 Mitchell Ave
Bowdon, GA 301081405
📞 7702585516fax 7702585517
Mailing address
429 Mitchell Ave
Bowdon, GA 301081405
📞 7702585516fax 7702585517

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...
    GA license #8166 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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