| Jerry E Nutt DDS, PC | |
|
1545 Powers Ferry Rd Se Suite B Marietta GA 30067-9412 | |
| (770) 980-9860 | |
| (850) 837-2042 |
| Full Name | Jerry E Nutt DDS, PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1545 Powers Ferry Rd Se, Marietta, Georgia |
| Authorized Official Name and Position | Theresa Chatham (DISTRICT MANAGER) |
| Authorized Official Contact | 7709809860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry E Nutt DDS, PC 1545 Powers Ferry Rd Se Suite B Marietta GA 30067-9412 Ph: (770) 980-9860 | Jerry E Nutt DDS, PC 1545 Powers Ferry Rd Se Suite B Marietta GA 30067-9412 Ph: (770) 980-9860 |
| NPI Number | 1487793808 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487793808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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