Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972851954 Individual Practitioner Male Practitioner

Dr. Michael Lee Minyard , DMD, MPH

Dentist - Pediatric Dentistry • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Minyard, DMD, MPH is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Augusta, GA. Practice services are available at 1120 15TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1120 15th St

Augusta, GA 309122960

Telephone 7067212371
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
24 Specialists

Practicing in Augusta, GA (319 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License GA DN014462

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Geoffrey Thompson , DDS, MS

Dentist - Prosthodontics

NPI 1003807603

Doctor of Dental Surgery, Master of Science

Dr. Theodore Ravenel , DMD

Dentist - Endodontics

NPI 1013070879

Doctor of Dental Medicine

Jayna Patel

Student in an Organized Health Care Education/Training Program

NPI 1033817374
Danijela Lazic

Student in an Organized Health Care Education/Training Program

NPI 1043164692
Dr. Emily Castillo , DDS

Student in an Organized Health Care Education/Training Program

NPI 1053175562

Doctor of Dental Surgery

NPI 1073783510

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Business Mailing Address July 03, 2019

Registered at 5445 MERIDIAN MARKS RD STE 200, ATLANTA, GA 303424755 (Tel: 4047859557)

👤
Provider Name / Credentials Updated July 03, 2019

Recorded as MICHAEL MINYARD, D.M.D, M.P.H.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2019

Dentist (License #DN014462 in GA)

NPI Profile Active June 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2017

Registered at 1120 15TH ST, AUGUSTA, GA 309122960 (Tel: 7067212371)

📍
Updated Business Mailing Address June 24, 2017

Registered at 1120 15TH ST., AUGUSTA, GA 309120004

👤
Provider Name / Credentials Updated June 24, 2017

Recorded as MICHAEL MINYARD, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2017

Student in an Organized Health Care Education/Training Program (License #DN014462 in GA)

NPI Profile Active August 22, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2012

Registered at 950 LANEY WALKER BLVD, AUGUSTA, GA 309012960 (Tel: 7067215891)

📍
Updated Business Mailing Address August 22, 2012

Registered at 950 LANEY WALKER BLVD, AUGUSTA, GA 309012960 (Tel: 7067215891)

👤
Provider Name / Credentials Updated August 22, 2012

Recorded as MICHAEL MINYARD, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2012

Dentist (License #DN014462 in GA)

🟢
Initial NPI Registration & Enumeration August 22, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972851954
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2012
Last Update: July 03, 2019
Sole Proprietor: No

Mailing Address

5445 Meridian Marks Rd Ste 200

Atlanta, GA 303424755

Phone: 4047859557

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.