Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053804070 Individual Practitioner Male Practitioner

Dr. Dustin Petry , DMD

Dentist - General Practice • Pine Mountain, GA

Professional Overview & Biography Verified Profile Summary

Dr. Dustin Petry, DMD is a registered healthcare professional specializing in Dentist - General Practice in Pine Mountain, GA. Practice services are available at 8944 HAMILTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8944 Hamilton Rd

Pine Mountain, GA 318224707

Telephone 7066632272
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pine Mountain, GA

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

Practicing in Pine Mountain, 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 DN015685

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1376389270

Doctor of Dental Medicine

Dr. William Couch , DDS

Dentist - General Practice

NPI 1740403039

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 13, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2018

Registered at 8944 HAMILTON RD, PINE MOUNTAIN, GA 318224707 (Tel: 7066632272)

📍
Updated Business Mailing Address June 13, 2018

Registered at 102 MORGAN DR, LAGRANGE, GA 302406344 (Tel: 7063381828)

👤
Provider Name / Credentials Updated June 13, 2018

Recorded as DUSTIN PETRY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2018

Dentist (License #DN015685 in GA)

🟢
Initial NPI Registration & Enumeration June 13, 2018

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: 1053804070
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2018
Last Update: June 13, 2018
Sole Proprietor: No

Mailing Address

102 Morgan Dr

Lagrange, GA 302406344

Phone: 7063381828

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.