PERRY DENTAL ASSOCIATES LLC (NPI# 1780830919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780830919 |
| Entity Type | Organization |
| Organization Name | PERRY DENTAL ASSOCIATES LLC |
| Practice Address |
1102 Morningside Dr Perry GA 31069-2906 |
| Practice Telephone | 4789872402 |
| Practice Fax Number | 4789878878 |
| Mailing Telephone | 4789872402 |
| Mailing Fax Number | 4789878878 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |
| Authorized Official Name | BRISTOL SHELTON (OFFICE MANAGER) |
| Authorized Official Telephone | 4789872402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1102 MORNINGSIDE DR |
| City | PERRY |
| State | GA |
| Zip Code | 31069-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114140175 | Louis C Shelton | Dentist | 1102 Morningside Dr, Perry, GA 31069-2906 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114924 | Rebecca Lyn Parker | Pharmacist | 302 Walton Chase, Perry, GA 31069 | 2018-11-27 |
| 1437637568 | Joshua Thomas Guley | Dentist | 2161 Houston Lake Road Hwy 127, Perry, GA 31069 | 2018-07-31 |
| 1043755531 | Otha Everett | Counselor | 733-b Carroll Street, Perry, GA 31069 | 2016-12-20 |
| 1699226001 | Middle Georgia Primary Care | Nurse Practitioner | 1115 Morningside Drive, Perry, GA 31069 | 2016-10-20 |
| 1639535628 | Holly Lavender | Nurse Practitioner | 1016 Keith Dr, Perry, GA 31069 | 2016-01-07 |
| 1598049918 | Spencer D Shugart | Physical Therapist | 1202 Macon Rd, Perry, GA 31069 | 2011-10-04 |
| 1154638518 | Middle Georgia Anesthesiology, LLC | Nurse Anesthetist, Certified Registered | 1040 Morningside Drive, Perry, GA 31069 | 2010-09-07 |
| 1922203686 | Sarah Pearson Velasquez | Nurse Practitioner | 1024 Keith Drive, Perry, GA 31069 | 2007-06-20 |
| 1417008004 | Bruce Duwayne Sampson | Internal Medicine | 1019 Keith Drive, Suite A, Perry, GA 31069 | 2007-01-12 |
| 1104839125 | Harold Brian Gillis | Chiropractor | 1207 Main Street Suite C, Perry, GA 31069 | 2006-08-14 |
| Find all providers in zip 31069 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518265172 | Silver Lake Dental Pllc | Dentist | 114 N Center St, Perry, NY 14530-9701 | 2011-03-07 |
| 1770748527 | Whitney James | Dentist | 708 Cedar St, Perry, OK 73077-6421 | 2008-07-22 |
| 1861697765 | Eric David Bryant | Dentist | 142 N Center St, Perry, NY 14530-9701 | 2007-06-19 |
| 1073727962 | T Craig Laughlin | Dentist | 2605 Iowa St, Perry, IA 50220-2413 | 2007-05-09 |
| 1114140175 | Louis C Shelton | Dentist | 1102 Morningside Dr, Perry, GA 31069-2906 | 2007-04-10 |
| 1013038934 | Melissa Renee Royer | Dentist | 7241 Lansing Rd, Perry, MI 48872-9743 | 2007-04-02 |
| 1265556138 | Robert Thomas Pierce | Dentist | 1021 Keith Dr, Perry, GA 31069-2948 | 2007-03-18 |
| 1104963032 | Temiko Graves Braswell | Dentist | 1133 Macon Rd, Perry, GA 31069-2651 | 2007-01-31 |
| 1396804142 | Neal B. Forbes | Dentist | 4543 N Ridge Rd, Perry, OH 44081-9738 | 2006-12-07 |
| 1447325667 | Gregory Dale Steffen | Dentist | 1305 2nd St, Perry, IA 50220-1511 | 2006-11-22 |
| Find all providers in PERRY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.