P Praxis·MD
● Active Type 1 · Individual

John Haycock, D.M.D.

Dentist·Fayetteville, GA· NPI 1992093801 · Enumerated 2011 · 14 years on NPI
Haycock is 1 of 6 dentist providers in Fayetteville and 1 of 200 in Georgia.
NPI age
14 years
Enumerated 2011-07-12
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-06-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 200 active dentist providers in Georgia.

NPI age
14 years
↓ 4 yr below median (18 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-07Enumerated in NPPES
2011 2026

Where they practice

Practice location
112 N Park Dr
Fayetteville, GA 302141645
📞 7704601527
Mailing address
315 Swains Dr
Fayetteville, GA 302155789
📞 7068773456

Specialties

  • Dentist Primary
    The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the...
    GA license #DN014171 taxonomy 1223E0200X

Practice context

Part of a multi-provider practice. 2 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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