Thomas F Moynahan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9825 Issued in GA

Practice address

53 Perry St
Newnan, GA 30263-1935

Phone

(770) 251-3465

Fax

(770) 251-9120

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Perry Street Dental, P.C.

  • Dentist
  • Newnan, GA
  • NPI 1407208291

  General Practice

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144439167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 PERRY ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631935",
            "telephone_number": "770-251-3465",
            "fax_number": "770-251-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 PERRY ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631935",
            "telephone_number": "770-251-3465",
            "fax_number": "770-251-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYNAHAN",
        "first_name": "THOMAS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haleigh McKenna Morris
• Joseph Henry Morris III, MD
• Joseph Henry Morris Jr., DDS
• Sandra Lynn Morris, M.M.SC., P.A.-C
• Shanna B Mowery, NP-C
• Michael Anthony Mudge Jr., CRNA
• Theresa Elizabeth Mueller, PHARMD
• Johnny Glenn Mulliniks, FNP, APRN
• Bennie Joe Mullins Jr., CRNA
• Tim Mullins, NP

• General Practice Dentistry in Newnan, GA
• Providers in Newnan, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.