Active NPI
Priumdental PC
- Dental Clinic/Center
- Duluth, GA
National Provider Identifier
1467364406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- PRIUMDENTAL PC
- Practice address
- 2805 Peachtree Industrial Blvd Ste 113
Duluth, GA 30097-8170 - Phone
- (770) 476-2252
- NPI assigned
- Sep 22, 2026
- Last updated
- Sep 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mia Ahn, DDS
- Title
- President
- Phone
- (770) 476-2252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
2805 Peachtree Industrial Blvd Ste 113
Duluth, GA 30097-8170
Mailing address
2805 Peachtree Industrial Blvd Ste 113
Duluth, GA 30097-8170
Phone (770) 476-2252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1467364406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 PEACHTREE INDUSTRIAL BLVD STE 113",
"city": "DULUTH",
"state": "GA",
"postal_code": "300978170",
"telephone_number": "770-476-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 PEACHTREE INDUSTRIAL BLVD STE 113",
"city": "DULUTH",
"state": "GA",
"postal_code": "300978170",
"telephone_number": "770-476-2252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIUMDENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "AHN",
"authorized_official_first_name": "MIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-476-2252",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.