Provider Demographics
NPI:1861583338
Name:PERROTT, DENNIS J (DDS)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:J
Last Name:PERROTT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:211 PRIME PT
Mailing Address - Street 2:SUITE B
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-3334
Mailing Address - Country:US
Mailing Address - Phone:770-487-1978
Mailing Address - Fax:770-487-9142
Practice Address - Street 1:211 PRIME PT
Practice Address - Street 2:SUITE B
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-3334
Practice Address - Country:US
Practice Address - Phone:770-487-1978
Practice Address - Fax:770-487-9142
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA103551223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics