Clinton David Baugham, DMD
Individual provider Active NPI General Practice Dentistry · Peachtree Corners, GA
NPI 1295170652 · NPPES record last updated May 20, 2026
Key facts
- NPI
- 1295170652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN014793 (GA)
- Practice address
- 3961 Holcomb Bridge Rd Ste 100
Peachtree Corners, GA 30092-5298 - Phone
- (770) 449-0202
- Fax
- (770) 502-6772
- NPI assigned
- Apr 30, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN014793 | GA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN014793 | GA | Yes |
Addresses
Primary practice location
3961 Holcomb Bridge Rd Ste 100
Peachtree Corners, GA 30092-5298
Mailing address
3961 Holcomb Bridge Rd Ste 100
Peachtree Corners, GA 30092-5298
Phone (770) 449-0202
Other providers in Peachtree Corners, GA
- Robert S. Bachner
- Dianna Brooke Baral
- Jeanne Barbee
- Quinton Barnes
- Amy Barrett
- Sheena Dawn Beasley
- Lorelei Benham
- Calandra J Bennett
- Tracy Evans Benson
- Berenice Betancourt
All providers in Peachtree Corners, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.