NPI age
9 years
Enumerated 2016-11-29
● Active Type 2 · Organization
Michelle Gwyn Dds, Pc
Michelle Gwyn Dds, Pc is 1 of 2660 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gwyn
Owner
Last NPPES update
2016-11-29
Source: monthly bulk 2026-05
How this organization compares
Across 2660 active dentist providers in Georgia.
NPI age
9 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-11Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
5040 Bill Gardner Pkwy Ste 300
Locust Grove, GA 302483758
Mailing address
5040 Bill Gardner Pkwy Ste 300
Locust Grove, GA 302483758
Authorized official
Michelle Sandra Gwyn, DDS
Owner
📞 6783048408
Specialties
-
Dentist PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 675686848C |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Perfect Portrait Family Dentistry
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.