P Praxis·MD
● Active Type 1 · Individual

DR. Nkemakonam Egolum, DDS

Dentist·Johns Creek, GA· NPI 1992142806 · Enumerated 2013 · 12 years on NPI
Egolum is 1 of 2 dentist providers in Johns Creek and 1 of 358 in Georgia.
NPI age
12 years
Enumerated 2013-05-31
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-10-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 358 active dentist providers in Georgia.

NPI age
12 years
↓ 6 yr below median (18 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-05Enumerated in NPPES
2013 2026

Where they practice

Practice location
10700 Medlock Bridge Rd Ste 204
Johns Creek, GA 300978455
📞 7707640840fax 7707640870
Mailing address
10700 Medlock Bridge Rd Ste 204
Johns Creek, GA 300978455
📞 7707640840fax 7707640870

Specialties

  • Dentist Primary
    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
    GA license #DN122975 taxonomy 1223S0112X

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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