P Praxis·MD
● Active Type 1 · Individual

DR. Shelley Danielle Wade Berganske, D.M.D.

Dentist·Suwanee, GA· NPI 1922490333 · Enumerated 2015 · 11 years on NPI
Berganske is 1 of 17 dentist providers in Suwanee and 1 of 539 in Georgia.
NPI age
11 years
Enumerated 2015-02-21
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 539 active dentist providers in Georgia.

NPI age
11 years
↓ 5 yr below median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-02Enumerated in NPPES
2015 2026

Where they practice

Practice location
1380 Peachtree Industrial Blvd Ste 150
Suwanee, GA 300243795
📞 7706148914fax 7706148917
Mailing address
1380 Peachtree Industrial Blvd, #150
Suwanee, GA 30024
📞 7706148914

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1430 John Wesley Gilbert Dr
Augusta, GA 309121000
📞 7067122551

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 #DN014966 taxonomy 1223P0221X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    GA license #DN014966 taxonomy 390200000X

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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