P Praxis·MD
● Active Type 1 · Individual

Michael Shawn McMoran

Dentist·Cumming, GA· NPI 1538276597 · Enumerated 2006 · 19 years on NPI
McMoran is 1 of 19 dentist providers in Cumming and 1 of 539 in Georgia.
NPI age
19 years
Enumerated 2006-08-24
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, AR
2 states
Status
Active
No deactivations on record
Last NPPES update
2016-03-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 539 active dentist providers in Georgia.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
5830 Bond St, Suite 350
Cumming, GA 300400307
📞 4045203223
Mailing address
5830 Bond St, Suite 350
Cumming, GA 300400307
📞 4045203223

Specialties

  • Dentist Primary
    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
    GA license #14947AR license #3235 taxonomy 1223P0221X

Identifiers

TypeValueNotes
05 (AR) 154921608
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 5 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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