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Active NPI 1790911170 Individual Practitioner Female Practitioner

Dr. Kajuana Pearldealia Farrey , DMD

Dentist - General Practice • Moultrie, GA

Professional Overview & Biography Verified Profile Summary

Dr. Kajuana Farrey, DMD is a registered healthcare professional specializing in Dentist - General Practice in Moultrie, GA. Practice services are available at 513 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

513 S Main St

Moultrie, GA 317684637

Telephone 2298903908
Fax 2298903909
Associated Practice Facility / Clinic
🏢 Farrey Family Dentistry Llc Facility NPI 1265731442

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Moultrie, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
9 Specialists

Practicing in Moultrie, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN013880

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.

Dentist - Dental Public Health

NUCC Taxonomy Code: 1223D0001X

State License GA DN013880

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
148974731B (GA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 27, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2011

Registered at 513 S MAIN ST, MOULTRIE, GA 317684637 (Tel: 2298903908)

📍
Updated Business Mailing Address March 27, 2011

Registered at PO BOX 2229, MOULTRIE, GA 317762229 (Tel: 2298903908)

👤
Provider Name / Credentials Updated March 27, 2011

Recorded as KAJUANA FARREY, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2011

Dentist (License #DN013880 in GA)

🟢
Initial NPI Registration & Enumeration May 30, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790911170
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2009
Last Update: March 27, 2011
Sole Proprietor: Yes

Mailing Address

Po Box 2229

Moultrie, GA 317762229

Phone: 2298903908

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.