P Praxis·MD
● Active Type 1 · Individual

MS. Beth Ann Willard, CDA

Dental Assistant·Augusta, GA· NPI 1962611368 · Enumerated 2007 · 19 years on NPI
Willard is 1 of 5 dental assistant providers in Augusta and 1 of 91 in Georgia.
NPI age
19 years
Enumerated 2007-05-22
Primary specialty
Dental Assistant
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 91 active dental assistant providers in Georgia.

NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
3% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
1459 Laney Walker Blvd, Ad2802
Augusta, GA 309120002
📞 7067212716fax 7067211893
Mailing address
530 Henderson Dr
Augusta, GA 309093741
📞 7067212716fax 7067211893

Specialties

  • Dental Assistant Primary
    An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient...
    taxonomy 126800000X

Practice context

Part of a multi-provider practice. 114 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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