Organization Active NPI

Perimeter Smiles, LLC

  • Dentist
  • Decatur, GA
National Provider Identifier
1679702930
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PERIMETER SMILES, LLC
Practice address
3775 N Druid Hills Road
Suite a
Decatur, GA 30033-3729
Phone
(404) 446-1340
NPI assigned
Jul 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Josette Poythress
Title
Practice Administrator
Phone
(404) 446-1340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3775 N Druid Hills Road
Suite a
Decatur, GA 30033-3729

Mailing address

1350 Montreal Rd
Suite 290
Tucker, GA 30084-8146
Phone (404) 446-1340

National Provider Directory

National Provider Directory

Locations

3775 N Druid Hills Rd
Ste A
Decatur, GA 30033
Phone (404) 446-1340

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1679702930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 MONTREAL RD",
            "address_2": "SUITE 290",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848146",
            "telephone_number": "404-446-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 N DRUID HILLS ROAD",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333729",
            "telephone_number": "404-446-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIMETER SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "POYTHRESS",
        "authorized_official_first_name": "JOSETTE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "404-446-1340"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.