| Jerry E Nutt Dds & Assoc Of College Park | |
|
1571 Phoenix Blvd College Park GA 30349-5536 | |
| (770) 996-7700 | |
| Not Available |
| Full Name | Jerry E Nutt Dds & Assoc Of College Park |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1571 Phoenix Blvd, College Park, Georgia |
| Authorized Official Name and Position | Michelle Smith (OFFICE MANAGER) |
| Authorized Official Contact | 7709967700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry E Nutt Dds & Assoc Of College Park 1571 Phoenix Blvd College Park GA 30349-5536 Ph: (770) 996-7700 | Jerry E Nutt Dds & Assoc Of College Park 1571 Phoenix Blvd College Park GA 30349-5536 Ph: (770) 996-7700 |
| NPI Number | 1710023080 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710023080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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