P Praxis·MD
● Active Type 2 · Organization

Perry Street Dental, P.c.

Dentist·Newnan, GA· NPI 1407208291 · Enumerated 2016 · 9 years on NPI
Perry Street Dental, P.c. is 1 of 2660 dentist organizations in Georgia.
NPI age
9 years
Enumerated 2016-07-06
Primary specialty
Dentist
Plus 4 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moynahan
President
Last NPPES update
2016-07-06
Source: monthly bulk 2026-05

How this organization compares

Across 2660 active dentist providers in Georgia.

NPI age
9 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
4
In the 16% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-07Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
53 Perry St
Newnan, GA 302631935
📞 7702513465
Mailing address
1090 Northchase Pkwy Se Ste 150
Marietta, GA 300676407
📞 7709165031fax 6782477966

Authorized official

Thomas F. Moynahan, D.M.D.
President
📞 7702513465

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    taxonomy 122300000X
  • Dentist
    The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the...
    taxonomy 1223E0200X
  • Dentist
    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.
    taxonomy 1223G0001X
  • Dentist
    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
    taxonomy 1223S0112X
  • Dentist
    That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
    taxonomy 1223X0400X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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