NPI 1255072583

Ashley Megan Gagnon, DMDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Atlanta, GA

Practice location

Address: 1365 Clifton Rd NE, Atlanta, GA 30322-1013
Phone: (404) 778-4500
Mailing address: 1364 Clifton Rd NE, Atlanta, GA 30322-1059

Registered specialties (3)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 17634 (GA)

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Dentist

Dental Providers Taxonomy 122300000X Licence DN123028 (GA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1255072583
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Apr 2022
Record last updated: 19 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.