P Praxis·MD
● Active Type 1 · Individual

Mohamad Fawaz, DMD

Student in an Organized Health Care Education/Training Program·Augusta, GA· NPI 1629716907 · Enumerated 2022 · 3 years on NPI
Fawaz is 1 of 331 student in an organized health care education/training program providers in Augusta and 1 of 6569 in Georgia.
NPI age
3 years
Enumerated 2022-05-25
Primary specialty
Student in an Organized Health Care Education/Training Program
Plus 1 subspecialty
Licensed in
VA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 6569 active student in an organized health care education/training program providers in Georgia.

NPI age
3 years
≈ at median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 6% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-05Enumerated in NPPES
2022 2026

Where they practice

Practice location
1430 John Wesley Gilbert Drive
Augusta, GA 309120566
📞 7062886517
Mailing address
1430 John Wesley Gilbert Drive Augusta
Augusta, GA 309120257
📞 7062886517

Additional practice locations

1 secondary location on file with NPPES.

Location 2
Vcuhs Dept Of Omfs Residency, 1250 E Marshall St
Richmond, VA 232980566
📞 8048280602

Specialties

  • Student in an Organized Health Care Education/Training Program Primary
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    VA license #DN123645 taxonomy 390200000X
  • Dentist
    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
    VA license #0442000458 taxonomy 1223S0112X

Practice context

Part of a multi-provider practice. 136 other active providers share this practice address in NPPES.

Recently enumerated nearby: 74 new student in an organized health care education/training program providers have been added in Augusta 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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