NPIMap

Organization Active NPI

Perimeter Dental East Cobb

  • Dental Clinic/Center
  • Marietta, GA
National Provider Identifier
1093423253
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PERIMETER DENTAL EAST COBB
Practice address
1070 Woodlawn Dr NE Ste 100
Marietta, GA 30068-4290
Phone
(770) 977-7600
NPI assigned
Nov 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Dr. Nelson Yang, DMDNPI 1326244310
Title
Owner
Phone
(770) 977-7600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1070 Woodlawn Dr NE Ste 100
Marietta, GA 30068-4290

Mailing address

1070 Woodlawn Dr NE Ste 100
Marietta, GA 30068-4290
Phone (770) 977-7600

National Provider Directory

National Provider Directory

Locations

1070 Woodlawn Dr NE
Ste 100
Marietta, GA 30068
Phone (770) 793-9200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1093423253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 WOODLAWN DR NE STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684290",
            "telephone_number": "770-977-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 WOODLAWN DR NE STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684290",
            "telephone_number": "770-977-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIMETER DENTAL EAST COBB",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-977-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.