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RYAN PATRICK MOONEYHAM DDS
NPI 1033705066
Dentist - Oral and Maxillofacial Surgery in Augusta, GA

Active since December 14, 2020
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912(706) 721-9744(706) 721-6778 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2026, Oct 24, 2022, Apr 28, 2021 and 1 more (4 updates tracked since 2020).

About Ryan Patrick Mooneyham Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN PATRICK MOONEYHAM DDS (NPI 1033705066) is an individual oral and maxillofacial surgery provider in Augusta, Georgia, licensed in Georgia (DNF000472) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1033705066
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameRYAN PATRICK MOONEYHAMCredential: DDS
Location Address1430 JOHN WESLEY GILBERT DRIVEAugusta, GA 30912-0001
Mailing Address1120 15th Street, Gc-1161Augusta, GA 30912-0001 · (706) 721-9744 · Fax (706) 721-6778
Phone(706) 721-9744
Fax(706) 721-6778
Sole ProprietorNo
Enumeration DateDecember 14, 2020
Last NPPES UpdateFebruary 3, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1033705066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in GA · DNF000472✔ Licensed in IA · DDS-09792
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1430 JOHN WESLEY GILBERT DRIVE, Augusta, GA 30912
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GEOFFREY ALLEN THOMPSON DDS, MS
Dentist (Prosthodontics)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
JOHN KENNETH HAWKINS CRNA, PHD
Nurse Anesthetist, Certified Registered
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-9744
DR. THEODORE D RAVENEL V DMD
Dentist (Endodontics)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
DR. ELIZABETH CASTLEBERRY MILLER DDS
Dentist
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2441
JAYNA PATEL
Student in an Organized Health Care Education/Training Program
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
DANIJELA LAZIC
Student in an Organized Health Care Education/Training Program
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
DR. ROY A ROCKMAN DDS
Dentist (Pediatric Dentistry)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2716
DR. BRIAN EDWARD BERGERON DMD
Dentist (Endodontics)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Mooneyham's NPI number?

The NPI number for Ryan Mooneyham is 1033705066. It was assigned to this individual provider in the NPPES registry on December 14, 2020.

Where is Ryan Mooneyham located?

Ryan Mooneyham practices at 1430 John Wesley Gilbert Drive, Augusta, GA 30912. The listed phone number is (706) 721-9744.

What is Ryan Mooneyham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Ryan Mooneyham was last updated on February 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.