Peter a Pate, DDS, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PETER A PATE, DDS, LLC

Practice address

91 W Wieuca Rd NE Ste 4000
Atlanta, GA 30342-3291

Phone

(404) 266-9424

Fax

(404) 506-9030

NPI assigned

Jun 27, 2024

Organization subpart

No

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

Authorized official

Name

Ann C Moore

Title

Practice Administrator

Phone

(404) 229-4527

Specialties & licenses 1

Addresses

Other names 1

• Dentistry in Buckhead Doing business as

Locations

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1245075670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 HADDON HALL RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272627",
            "telephone_number": "404-229-4527",
            "fax_number": "404-506-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 W WIEUCA RD NE STE 4000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423291",
            "telephone_number": "404-266-9424",
            "fax_number": "404-506-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A PATE, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "404-229-4527"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry in Buckhead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yarnelle Pestonit
• Robyn Allen Petagrew, DO
• Nicole B Petchenik, M.D.
• Nicole Lynn Petcka, MD
• Karen Pete, RN
• Peter Marie House
• Peter R Cranton, P.C.
• Peter V. Vanstrom, DDS, PC
• Allison Peterka
• Kewashah N Peterkin

• Dental Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.