P Praxis·MD
● Active Type 1 · Individual

John Hutchings Ambrose JR., DMD

Dentist·Atlanta, GA· NPI 1700972395 · Enumerated 2006 · 19 years on NPI
Ambrose is 1 of 54 dentist providers in Atlanta and 1 of 539 in Georgia.
NPI age
19 years
Enumerated 2006-10-04
Primary specialty
Dentist
Plus 4 subspecialties
Licensed in
GA, VA, IN, NY
4 states
Status
Active
No deactivations on record
Last NPPES update
2014-04-08
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
4 states
Top 88% — 11% of peers are multi-state
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
4536 Chamblee Dunwoody Rd, Suite 211
Atlanta, GA 303386200
📞 7704551238fax 7704526421
Mailing address
160 Pierce Ave
MacOn, GA 312042871
📞 4787430901fax 4787458615

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 #DN012737 taxonomy 1223P0221X
  • Dentist
    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 #DN012737VA license #0401411248IN license #12010811ANY license #50-052728-1 taxonomy 1223G0001X

Identifiers

TypeValueNotes
05 (VA) 9170714
05 (GA) 29364594A
05 (IN) 200519740A
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new dentist providers have been added in Atlanta 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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