Jacob Gregory Perlow, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015197 Issued in GA

Practice address

560 Dutch Valley Rd NE # 562
Atlanta, GA 30324-5362

Phone

(404) 806-1680

Fax

(404) 806-6354

NPI assigned

Jul 11, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Perlow Dental LLC

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1447185228
  NPD Authorized official

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1437501764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 DUTCH VALLEY RD NE # 562",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245362",
            "telephone_number": "404-806-1680",
            "fax_number": "404-806-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 DUTCH VALLEY RD NE # 562",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245362",
            "telephone_number": "404-806-1680",
            "fax_number": "404-806-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLOW",
        "first_name": "JACOB",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott J Perlman, MD
• Elizabeth Yaughn Perlmutter, LCSW
• Mark Perloe, M.D.
• Perlow Dental LLC
• Ellen R Perlow, PT
• Steven Perry Perlow, PH.D.
• Meyer Ivan Perlstein, DDS., MD
• Susan S Perlstein, M.D.
• Amanda Lee Perme, CCC-SLP
• John Duncan Perna, MD

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.