P Praxis·MD
● Active Type 1 · Individual

Kathy Bruster

Dentist·Atlanta, GA· NPI 1720137029 · Enumerated 2007 · 19 years on NPI
Bruster is 1 of 57 dentist providers in Atlanta and 1 of 526 in Georgia.
NPI age
19 years
Enumerated 2007-01-09
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 526 active dentist providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
1901 Phoenix Blvd
Atlanta, GA 303495588
📞 7709910913
Mailing address
912 Carriage Path Se
Smyrna, GA 300824761

Specialties

  • Dentist Primary
    That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
    GA license #11406 taxonomy 1223X0400X

Practice context

Part of a multi-provider practice. 10 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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