P Praxis·MD
● Active Type 1 · Individual

Aurelia Vanderburg

Dentist·MacOn, GA· NPI 1831328327 · Enumerated 2009 · 16 years on NPI
Vanderburg is 1 of 5 dentist providers in MacOn and 1 of 200 in Georgia.
NPI age
16 years
Enumerated 2009-07-07
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-01-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 200 active dentist providers in Georgia.

NPI age
16 years
↓ 2 yr below median (18 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-07Enumerated in NPPES
2009 2026

Where they practice

Practice location
205 Tom Hill SR Blvd, Suite B
MacOn, GA 312101817
📞 4786543111
Mailing address
205 Tom Hill SR Blvd, Suite B
MacOn, GA 312101817

Specialties

  • Dentist Primary
    The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the...
    GA license #DN014507 taxonomy 1223E0200X

Practice context

Solo or small practice. No 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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