P Praxis·MD
● Active Type 1 · Individual

DR. Fazeela Ghannie, DDS

Dentist·Lawrenceville, GA· NPI 1679669188 · Enumerated 2006 · 19 years on NPI
Ghannie is 1 of 46 dentist providers in Lawrenceville and 1 of 2660 in Georgia.
NPI age
19 years
Enumerated 2006-10-04
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-01-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
2000 Riverside Parkway, Suite 200
Lawrenceville, GA 30044
📞 6788362109fax 7704410299
Mailing address
3194 Clubside View Ct
Snellville, GA 300394722
📞 6153279195fax 7704410299

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 #013167 taxonomy 122300000X

Identifiers

TypeValueNotes
01 (GA) 013167 DENTIST

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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