National Provider Identifier Database

ASHLEY M GAGNON, DMD, MD – NPI #1255072583
Oral & Maxillofacial Surgery


Contact Information

ASHLEY M GAGNON, DMD, MD
1365 CLIFTON RD NE
ATLANTA, GA30322-1013
Phone: 404-778-4500
Fax:
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X
Dentist 122300000X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for ASHLEY M GAGNON

NPI Number 1255072583
Credentials DMD, MD
Entity Individual
Enumeration date 04/01/2022
Last updated 01/19/2026 - About 5 months ago
Sole proprietor1 No
Identifiers
  • GA License #: 17634
  • GA License #: DN123028
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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