Dennis J. Perrott, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

10355 Issued in GA

Practice address

211 Prime PT
Suite B
Peachtree City, GA 30269-3334

Phone

(770) 487-1978

Fax

(770) 487-9142

NPI assigned

Sep 27, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in GA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861583338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PRIME PT",
            "address_2": "SUITE B",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693334",
            "telephone_number": "770-487-1978",
            "fax_number": "770-487-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PRIME PT",
            "address_2": "SUITE B",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693334",
            "telephone_number": "770-487-1978",
            "fax_number": "770-487-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERROTT",
        "first_name": "DENNIS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "10355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaila Peat
• Pediatrics Village, P.C.
• Rhonda Pennypacker
• Vincent J. Perciaccante, DDS
• Kelly Rose Peronti, AGACNP-BC
• Dimetrius Perrymond
• Kelly Rebecca Petaccio, MS LPC CPCS
• Melissa Kristine Petersen, NP
• Takana Petty
• Phalanx Med Georgia, LLC

• Periodontics in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Periodontics 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.