Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. David Shane Petrie, DDS

Individual provider Dentist · NPI 1104957521

Dr. David Shane Petrie, DDS is a Dentist in Fayetteville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

320 N Jeff Davis Dr Ste B
Fayetteville, GA 30214-1669
Phone: (770) 461-3921
Fax: (770) 461-0944
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 8534 (GA)

Record details

NPI number1104957521
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 8, 2007
Last updated in NPPESJuly 8, 2007
Mailing address320 N Jeff Davis Dr Ste B, Fayetteville, GA 30214-1669

Other providers in Fayetteville