Alfred E Pesto Jr., DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

10920 Issued in GA

Practice address

4815 Paulsen St
Savannah, GA 31405-4418

Phone

(912) 352-2324

Fax

(912) 354-0935

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2021 through Jul 1, 2027

Medicare enrollment (NPD)

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.

• Jackson P. Morgan, III, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Savannah, GA
  • NPI 1235361908

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1295875755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054418",
            "telephone_number": "912-352-2324",
            "fax_number": "912-354-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054418",
            "telephone_number": "912-352-2324",
            "fax_number": "912-354-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESTO",
        "first_name": "ALFRED",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "10920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000770602A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL MEDICAID",
            "identifier": "9184376",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanie Perry
• Merry Lynn Perry, ARNP
• Sarah Perry, RBT
• Jasmine Perryman, RBT
• Suresh I Persad-Maharaj, MD
• Pet Imaging Center of Savannah LLC
• Renny Valamparambil Peter, M.D
• Ellaree Yvette Peters
• Geoffrey Peters, M.D.
• Katherine A Petersen, M.D.

• All providers in Savannah, GA
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.