P Praxis·MD
● Active Type 1 · Individual

Jonathan L Bullard, DMD

Dentist·Augusta, GA· NPI 1578862777 · Enumerated 2011 · 15 years on NPI
Bullard is 1 of 145 dentist providers in Augusta and 1 of 4309 in Georgia.
NPI age
15 years
Enumerated 2011-03-28
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2011-10-22
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
15 years
↓ 3 yr below median (18 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-03Enumerated in NPPES
2011 2026

Where they practice

Practice location
3702 Washington Rd.
Augusta, GA 309072848
📞 7068635337fax 7068558249
Mailing address
3702 Washington Rd.
Augusta, GA 309072848
📞 7068635337fax 7068558249

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 #DN014101SC license #6964 taxonomy 1223G0001X

Practice context

Solo or small practice. No 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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