P Praxis·MD
● Active Type 1 · Individual

Poya Moghadam, DMD

Dentist·Canton, GA· NPI 1720270309 · Enumerated 2007 · 18 years on NPI
Moghadam is 1 of 43 dentist providers in Canton and 1 of 4309 in Georgia.
NPI age
18 years
Enumerated 2007-08-16
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-11-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
18 years
≈ at median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-08Enumerated in NPPES
2007 2026

Where they practice

Practice location
1810 Cumming Hwy, Suite 900
Canton, GA 301149386
📞 6788800087fax 6788800059
Mailing address
1810 Cumming Hwy, Suite 900
Canton, GA 301149386
📞 6788800087fax 6788800059

Specialties

  • Dentist Primary
    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 #DNO13583 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 4 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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