Perimeter Pediatric Dentistry PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN 13057 Issued in GA

Legal business name

PERIMETER PEDIATRIC DENTISTRY PC

Practice address

2221 Johnson Ferry Rd NE
Ste 2-a
Atlanta, GA 30319-2203

Phone

(678) 763-2600

Fax

(678) 893-0459

NPI assigned

Sep 7, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vishant Nath, DMD

Title

Owner

Phone

(678) 763-2600

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1003123563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10930 CRABAPPLE RD",
            "address_2": "STE106",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755813",
            "telephone_number": "678-763-2600",
            "fax_number": "678-352-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 JOHNSON FERRY RD NE",
            "address_2": "STE 2-A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303192203",
            "telephone_number": "678-763-2600",
            "fax_number": "678-893-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIMETER PEDIATRIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "NATH",
        "authorized_official_first_name": "VISHANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-763-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN 13057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761564386",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.