Doctor profile · Federal record
Dr. Dustin Petry, DMD
General Practice Dentistry · Pine Mountain, GA
- NPI 1053804070
- 8 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
8944 Hamilton RD
Pine Mountain, GA 318224707
(706) 663-2272 - Mailing address
-
102 Morgan Dr
Lagrange, GA 302406344
Credentials & registration
- NPI registered
- June 2018 — 8 yrs on file
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Georgia #DN015685
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053804070. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$403
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Patterson Companies, INC. | 1 | $403.35 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
30
Patients
26
Total drug cost
$77
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 30 | 26 | $77 |
Frequently asked questions
What is Dr. Dustin Petry's medical specialty?
Dr. Dustin Petry practices General Practice Dentistry in Pine Mountain, GA.
Where does Dr. Dustin Petry practice?
Dr. Dustin Petry practices at 8944 Hamilton RD, Pine Mountain, GA 318224707. Office phone: 7066632272.
What is Dr. Dustin Petry's NPI?
Dr. Dustin Petry's National Provider Identifier (NPI) is 1053804070, issued by NPPES.