PERRY STREET DENTAL, P.C. – Dentist, NPI 1407208291

PERRY STREET DENTAL, P.C. is a healthcare provider. based in Marietta, Georgia. specializing in Dentist. The NPI Number for PERRY STREET DENTAL, P.C. is 1407208291

Main info

Organization
Name
PERRY STREET DENTAL, P.C.
NPI
1407208291
Phone
(770) 916-5031
Address
1090 NORTHCHASE PKWY SE STE 150
Authorized Official
THOMAS F. MOYNAHAN PRESIDENT D.M.D.
Enumeration Date
6 July 2016
Last Update Date
6 July 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:9State licenses:0Digital endpointsOther names

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Provider Addresses for PERRY STREET DENTAL, P.C.

  • Northchase Parkway Southeast, Marietta, Cobb County, Georgia, 30067, United States

    MARIETTA, GA 300676407

    Phone: (770) 916-5031

    Fax: (678) 247-7966

    Type: Mailing

  • 53, Perry Street, Newnan, Coweta County, Georgia, 30263, United States

    NEWNAN, GA 302631935

    Phone: (770) 251-3465

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30067)

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Reviews

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Frequently asked questions

Is there an official ID for PERRY STREET DENTAL, P.C. in U.S. healthcare records?
The official identifier for PERRY STREET DENTAL, P.C. is NPI 1407208291.
Is there an active status for PERRY STREET DENTAL, P.C.?
For scheduling context, PERRY STREET DENTAL, P.C. is shown as active in the registry.
What expertise is attributed to PERRY STREET DENTAL, P.C.?
PERRY STREET DENTAL, P.C.'s specialty line reads Dentist. Clinical services aligned with this taxonomy classification.
Is PERRY STREET DENTAL, P.C. located near Marietta?
PERRY STREET DENTAL, P.C. currently maps to Marietta, Georgia in this extract.
Can I trust this NPI listing for PERRY STREET DENTAL, P.C.?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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