Perimeter Facial Surgeons, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

11772 Issued in GA

Legal business name

PERIMETER FACIAL SURGEONS, LLC

Practice address

1505 Mount Vernon Rd
# 150
Dunwoody, GA 30338-4157

Phone

(770) 559-3648

NPI assigned

Jul 3, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Piyush Patel

Title

Omfs

Phone

(770) 559-3648

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1205219672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 MOUNT VERNON RD",
            "address_2": "# 150",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 MOUNT VERNON RD",
            "address_2": "# 150",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384157",
            "telephone_number": "770-559-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIMETER FACIAL SURGEONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PIYUSH",
        "authorized_official_title_or_position": "OMFS",
        "authorized_official_telephone_number": "770-559-3648",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "11772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Heather Lynn Phillips
• Stephanie Phillips, D.M.D.

• Oral and Maxillofacial Surgery (Dentist) in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.