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DR. DAVID SHANE PETRIE DDS
NPI 1104957521
Dentist in Fayetteville, GA

Active since March 08, 2007
320 N JEFF DAVIS DR STE B, FAYETTEVILLE, GA 30214(770) 461-3921(770) 461-0944 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Shane Petrie Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID SHANE PETRIE DDS (NPI 1104957521) is an individual dentist in Fayetteville, Georgia, licensed in Georgia (8534) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1104957521
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DAVID SHANE PETRIECredential: DDS
Location Address320 N JEFF DAVIS DR STE BFayetteville, GA 30214-1669
Mailing Address320 N Jeff Davis Dr Ste BFayetteville, GA 30214-1669 · (770) 461-3921 · Fax (770) 461-0944
Phone(770) 461-3921
Fax(770) 461-0944
Sole ProprietorYes
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104957521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · 8534
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
320 N JEFF DAVIS DR STE B, Fayetteville, GA 30214
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Petrie's NPI number?

The NPI number for David Petrie is 1104957521. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is David Petrie located?

David Petrie practices at 320 N Jeff Davis Dr Ste B, Fayetteville, GA 30214. The listed phone number is (770) 461-3921.

What is David Petrie's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for David Petrie was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.