JERRY E NUTT DDS & ASSOC OF COLLEGE PARK
NPI 1710023080
Dentist - General Practice in College Park, GA

Q: What is Jerry E Nutt Dds & Assoc Of College Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since January 30, 2007

1571 PHOENIX BLVD, COLLEGE PARK, GA 30349(770) 996-7700 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jerry E Nutt Dds & Assoc Of College Park NPPES

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

JERRY E NUTT DDS & ASSOC OF COLLEGE PARK (NPI 1710023080) is a healthcare organization registered as a general practice in College Park, Georgia and active in the NPI registry since January 2007. The organization lists Michelle Smith, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1710023080

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameJERRY E NUTT DDS & ASSOC OF COLLEGE PARK

Location Address1571 PHOENIX BLVDCollege Park, GA 30349-5536

Mailing Address1571 Phoenix BlvdCollege Park, GA 30349-5536 · (770) 996-7700

Phone(770) 996-7700

Organization SubpartNo

Authorized OfficialMichelle SmithOffice Manager · (770) 996-7700

Enumeration DateJanuary 30, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1710023080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1571 PHOENIX BLVD, College Park, GA 30349

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Jerry E Nutt Dds & Assoc Of College Park's NPI number?

The NPI number for Jerry E Nutt Dds & Assoc Of College Park is 1710023080. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Jerry E Nutt Dds & Assoc Of College Park located?

Jerry E Nutt Dds & Assoc Of College Park is located at 1571 Phoenix Blvd, College Park, GA 30349. The listed phone number is (770) 996-7700.

What is Jerry E Nutt Dds & Assoc Of College Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jerry E Nutt Dds & Assoc Of College Park was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.