P Praxis·MD
● Active Type 1 · Individual

Brad Warren Roehl, DMD

Dentist·Jonesboro, GA· NPI 1902829161 · Enumerated 2006 · 19 years on NPI
Roehl is 1 of 7 dentist providers in Jonesboro and 1 of 539 in Georgia.
NPI age
19 years
Enumerated 2006-07-26
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-08-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 539 active dentist providers in Georgia.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
435 Arrowhead Blvd
Jonesboro, GA 302361219
📞 7704788400fax 7704738766
Mailing address
295 Country Club Dr
Stockbridge, GA 302817350
📞 7704731350fax 7706920098

Specialties

  • Dentist Primary
    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
    GA license #DN012958 taxonomy 1223P0221X

Identifiers

TypeValueNotes
05 (GA) 280155184B

Practice context

Part of a multi-provider practice. 6 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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