Active NPI
Perimeter Smiles, LLC
- Dentist
- Decatur, GA
National Provider Identifier
1679702930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.