Organization Active NPI

Perfedent PC

  • General Practice Dentistry
  • Sandy Springs, GA
National Provider Identifier
1780944983
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012992 Issued in GA
Legal business name
PERFEDENT PC
Practice address
5972 Roswell Rd NE
Sandy Springs, GA 30328-4908
Phone
(404) 256-6400
Fax
(404) 256-6460
NPI assigned
May 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Dr. Afrin Mariyam, DMDNPI 1023185865
Title
Dentist
Phone
(404) 256-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN012992 GA Primary

Addresses

Primary practice location

5972 Roswell Rd NE
Sandy Springs, GA 30328-4908

Mailing address

5972 Roswell Rd NE
Sandy Springs, GA 30328-4908
Phone (404) 256-6400

Other identifiers 1

IdentifierTypeStateIssuer
863488156JMedicaidGA

Other names 1

  • KIDENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

5972 Roswell Rd
Sandy Springs, GA 30328
Phone (404) 256-6400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1780944983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5972 ROSWELL RD NE",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284908",
            "telephone_number": "404-256-6400",
            "fax_number": "404-256-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5972 ROSWELL RD NE",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284908",
            "telephone_number": "404-256-6400",
            "fax_number": "404-256-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFEDENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "MARIYAM",
        "authorized_official_first_name": "AFRIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "404-256-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "863488156J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.