P Praxis·MD
● Active Type 1 · Individual

Beverly Zidor, DDS

Dentist·Acworth, GA· NPI 1992144554 · Enumerated 2013 · 12 years on NPI
Zidor is 1 of 25 dentist providers in Acworth and 1 of 4309 in Georgia.
NPI age
12 years
Enumerated 2013-06-17
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, NY
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
12 years
↓ 6 yr below median (18 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-06Enumerated in NPPES
2013 2026

Where they practice

Practice location
3509 Baker Road Suite 401
Acworth, GA 301013010
📞 7709178943fax 7709178943
Mailing address
3509 Baker Road Suite 401
Acworth, GA 30101
📞 7709178943

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
219 Front St
Binghamton, NY 139052455
📞 7728289005
Location 3
1721 Powder Springs Rd Sw Ste 103
Marietta, GA 300644880
📞 7702930605

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    GA license #DN015283NY license #057730 taxonomy 1223G0001X

Practice context

Solo or small practice. No 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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