P Praxis·MD
● Active Type 1 · Individual

Zack Kalib Mahan, DDS

Dentist·Fort Gordon, GA· NPI 1740964329 · Enumerated 2023 · 2 years on NPI
Mahan is 1 of 4 dentist providers in Fort Gordon and 1 of 4309 in Georgia.
NPI age
2 years
Enumerated 2023-06-14
Primary specialty
Dentist
Licensed in
UT
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-06-14
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
2 years
↓ 16 yr below median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-06Enumerated in NPPES
2023 2026

Where they practice

Practice location
320 E Hospital Rd
Fort Gordon, GA 30905
📞 7067875102
Mailing address
854 Goodale Dr.
Augusta, GA 30909
📞 6199627329

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.
    UT license #13423741 taxonomy 1223G0001X

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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