Jerry E Nutt DDS & Assoc of College Park
NPI #1710023080 in College Park, Georgia
Provider Information
- NPI Number
- 1710023080
- Entity Type
- Organization
- Organization Name
- Jerry E Nutt DDS & Assoc of College Park
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1571 PHOENIX BLVD
- City
- College Park
- State
- Georgia
- ZIP Code
- 30349-5536
- Phone
- (770) 996-7700
Authorized Official
- Name
- MICHELLE SMITH
- Title
- OFFICE MANAGER
- Phone
- (770) 996-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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