IndividualActive
Jerry Nutt, DDS
NPI 1417204447 · Dentist · Marietta, GA
Jerry Nutt, DDS is a Dentist provider in Marietta, GA (NPI 1417204447).
Provider details
- NPI number
- 1417204447
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN008291 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1545 Powers Ferry Rd Se
220
Marietta, GA 30067-9412
Phone: (770) 980-9404
Fax: (770) 951-8773
Street-level locationGet directions
Mailing address
217 Main St
Destin, FL 32541-2503
Registry dates
- Enumerated
- 2012-08-09
- Last updated
- 2012-08-09
Frequently asked questions
- What is Jerry Nutt's NPI number?
- Jerry Nutt's National Provider Identifier (NPI) is 1417204447, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Nutt's specialty?
- Jerry Nutt is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jerry Nutt located?
- Jerry Nutt's practice location on file with NPPES is 1545 Powers Ferry Rd Se, Marietta, GA 30067-9412.
- What is Jerry Nutt's phone number?
- The practice phone number listed in the NPPES registry for Jerry Nutt is (770) 980-9404.
- Is Jerry Nutt's NPI active?
- Yes — Jerry Nutt's NPI (1417204447) is active in the NPPES registry as of the last update on 2012-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.