Amber O. Perry, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

012229 Issued in GA

Practice address

400 Town Park Blvd Ste 400
Evans, GA 30809-3471

Phone

(706) 288-1100

Fax

(706) 288-1060

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kelly Hughes, DMD, LLC

  • Pediatric Dentistry
  • Evans, GA
  • NPI 1114441995
  NPD

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548281173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TOWN PARK BLVD STE 400",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093471",
            "telephone_number": "706-288-1100",
            "fax_number": "706-288-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TOWN PARK BLVD STE 400",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093471",
            "telephone_number": "706-288-1100",
            "fax_number": "706-288-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "AMBER",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "012229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000889787C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000889787B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9180557",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorthe Rauholt Peloquin, M.D.
• Carla M Pennington, M.ED. CCC-SLP
• Christa Marie Pepitone, M.D.
• Miguel Alexis Pereira, M.D.
• Perfect Health Always on Call, LLC
• Brooke Leeanna Perry, BCBA
• Savanna Perry, PA-C
• Kathryn C. Peters, MSW, LCSW
• Jamie Petrie
• Andrea Jenke Pfeifer, DO

• Pediatric Dentistry in Evans, GA
• Providers in Evans, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.