Mark Persaud, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN015599 Issued in GA

Practice address

6600 Peachtree Dunwoody Rd
Building 400 Suite 150
Sandy Springs, GA 30328-3032

Phone

(347) 598-2410

NPI assigned

Mar 21, 2017

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.

• Tongue-Tie Laser Center of Atlanta

  • Dentist
  • Sandy Springs, GA
  • NPI 1881293538
  NPD Authorized official

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1679004725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 IVY RIDGE RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803135",
            "telephone_number": "347-598-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 PEACHTREE DUNWOODY RD",
            "address_2": "BUILDING 400 SUITE 150",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283032",
            "telephone_number": "347-598-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAUD",
        "first_name": "MARK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perimeter Primary Care P.C.
• Maria Perkins, R, PH.
• Traci M Perry-Scranton, MSN, APRN, CPNP
• Khaleah Perry
• Amelia Persaud, OTR/L, IBCLC
• Personalized Healthcare, LLC
• Merlande Leonna Petithomme, CERTIFIED HAIR LOSS
• Bethany Rose Ann Petronella, LPC
• Rick Petronella
• Hongduyen Pham, RBT

• Dentist in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.