Jerry E Nutt DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JERRY E NUTT DDS, PC

Practice address

1545 Powers Ferry Rd SE
Suite B
Marietta, GA 30067-9412

Phone

(770) 980-9860

Fax

(850) 837-2042

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Theresa Chatham

Title

District Manager

Phone

(770) 980-9860

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Jill Kelley

  • General Practice Dentistry
  • Marietta, GA
  • NPI 1881769446
  NPD (past)
• Richard B Liposky, ORAL MAXILLOFACIAL

  • Oral and Maxillofacial Surgery (Dentist)
  • Marietta, GA
  • NPI 1558426932
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487793808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 POWERS FERRY RD SE",
            "address_2": "SUITE B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679412",
            "telephone_number": "770-980-9860",
            "fax_number": "850-837-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 POWERS FERRY RD SE",
            "address_2": "SUITE B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679412",
            "telephone_number": "770-980-9860",
            "fax_number": "850-837-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY E NUTT DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHATHAM",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "770-980-9860"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle R. Jenkins, MS, APRN
• Jennifer H Wohlers DDS PC
• Wenqiu Jennings, FNP
• Diane Clary Jensen, MD
• Melanie Jerez-Sherrill
• Jerry I. Hochman, Chirorpactor PC
• Jeffrey Glenn Jeruss, O.D.
• Michelle Theresa Jesse, PH.D.
• Lorena Jesus, DC
• Leslie A. Jeter, CRNA

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, 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 Aug 22, 2020; 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.