P Praxis·MD
● Active Type 1 · Individual

Michael W Granger, DMD

Dentist·Fayetteville, GA· NPI 1992864375 · Enumerated 2006 · 19 years on NPI
Granger is 1 of 9 dentist providers in Fayetteville and 1 of 526 in Georgia.
NPI age
19 years
Enumerated 2006-12-08
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-07-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 526 active dentist providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
745 Bradley Dr
Fayetteville, GA 302142030
📞 7704614142fax 7707198862
Mailing address
745 Bradley Dr
Fayetteville, GA 302142030
📞 7704614142fax 7707198862

Specialties

  • Dentist Primary
    That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
    GA license #011413 taxonomy 1223X0400X

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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