Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID SHANE PETRIE, DDS
Active Sole ProprietorDR. DAVID SHANE PETRIE, DDS is a Dentist healthcare provider located in FAYETTEVILLE, Georgia. NPI 1104957521 is currently active in the NPPES registry. Verify at CMS.
Dentist · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1104957521
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 8, 2007 (19.395738247466 yrs)
- Last Updated
- Jul 8, 2007
- License
-
8534 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
320 N JEFF DAVIS DR STE BFAYETTEVILLE, GA, 302141669Browse GA providers · Browse ZIP 30214
- Phone
- 7704613921
- Fax
- 7704610944
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| WILLIAM CHARLES ARENDT JR. | DMD | 1255419107 |
| DR. ARTIE RICAUD | DDS CDT | 1356402945 |
| DR. ROBIN DWAYNE ASHFORD | D.D.S. | 1336206655 |
| CHARLES EDWIN BARBER | DMD | 1063562171 |
| WALTER KENNETH HUDSON | DMD | 1902956022 |
| JALPA HARVADAN DAVE | DMD | 1295931475 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.