P Praxis·MD
● Active Type 1 · Individual

Natasha Gandarilla, DMD

Dentist·Fort Gordon, GA· NPI 1952829095 · Enumerated 2017 · 8 years on NPI
Gandarilla is 1 of 16 dentist providers in Fort Gordon and 1 of 2660 in Georgia.
NPI age
8 years
Enumerated 2017-09-08
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-08-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
8 years
↓ 6 yr below median (14 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-09Enumerated in NPPES
2017 2026

Where they practice

Practice location
Bldg 38801 Academic Drive
Fort Gordon, GA 30905
📞 2166591670
Mailing address
725 Goodale Dr
Augusta, GA 309090095
📞 2166591670

Additional practice locations

1 secondary location on file with NPPES.

Location 2
5001 N Piedras St
El Paso, TX 799304210
📞 2166591670

Specialties

  • Dentist Primary
    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...
    TX license #35034 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 3 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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