P Praxis·MD
● Active Type 1 · Individual

Ala Yassin

Dentist·Tucker, GA· NPI 1841659372 · Enumerated 2016 · 10 years on NPI
Yassin is 1 of 4 dentist providers in Tucker and 1 of 221 in Georgia.
NPI age
10 years
Enumerated 2016-02-11
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, CO
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-01-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 221 active dentist providers in Georgia.

NPI age
10 years
↓ 9 yr below median (19 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-02Enumerated in NPPES
2016 2026

Where they practice

Practice location
4280 Lavista Rd
Tucker, GA 300845311
📞 7868848116
Mailing address
4280 Lavista Rd
Tucker, GA 300845311

Specialties

  • Dentist Primary
    That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of...
    GA license #DN122214 taxonomy 1223P0300X
  • Dentist
    A 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...
    CO license #DEN.00202746 taxonomy 122300000X

Identifiers

TypeValueNotes
05 (CO) 66286026
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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