P Praxis·MD
● Active Type 1 · Individual

DR. Han Eol Eom, DDS

Dentist·Ft Gordon, GA· NPI 1649750142 · Enumerated 2018 · 7 years on NPI
Eom is 1 of 9 dentist providers in Ft Gordon and 1 of 113 in Georgia.
NPI age
7 years
Enumerated 2018-08-15
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
VA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-06-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 113 active dentist providers in Georgia.

NPI age
7 years
↓ 12 yr below median (19 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
1
In the 40% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-08Enumerated in NPPES
2018 2026

Where they practice

Practice location
Bldg 38801 Academic Dr, Ste B&c, Suite B & C
Ft Gordon, GA 309055660
📞 7067877050
Mailing address
Cmr 415 Box 5367
Apo, AE 091140054

Specialties

  • Dentist Primary
    That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and...
    VA license #0401416179 taxonomy 1223P0700X
  • Dentist
    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...
    VA license #0401416179 taxonomy 122300000X

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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