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Active NPI 1669450649 Individual Practitioner Female Practitioner

Dr. Nirali Patel Procter , DMD

Dentist - General Practice • Canton, GA

Professional Overview & Biography Verified Profile Summary

Dr. Nirali Procter, DMD is a registered healthcare professional specializing in Dentist - General Practice in Canton, GA. Practice services are available at 205 WALESKA RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

205 Waleska Rd
Suite 2b

Canton, GA 301142493

Telephone 7704791717
Associated Practice Facility / Clinic
🏢 Cherokee Children's Dentistry Facility NPI 1639362445

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Canton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
29 Specialists

Practicing in Canton, GA (3302 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License SC 4088

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
ZX4088 (SC)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Jeffrey Mazzawi , DMD

Dentist - Pediatric Dentistry

NPI 1356364665

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 31, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 31, 2013

Registered at 205 WALESKA RD, SUITE 2B, CANTON, GA 301142493 (Tel: 7704791717)

📍
Updated Business Mailing Address December 31, 2013

Registered at 205 WALESKA RD, SUITE 2B, CANTON, GA 301142493 (Tel: 7704791717)

👤
Provider Name / Credentials Updated December 31, 2013

Recorded as NIRALI PROCTER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2013

Dentist (License #4088 in SC)

🟢
Initial NPI Registration & Enumeration January 09, 2006

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: 1669450649
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2006
Last Update: December 31, 2013
Sole Proprietor: No

Mailing Address

205 Waleska Rd, Suite 2b

Canton, GA 301142493

Phone: 7704791717

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.