NPIMap

Organization Active NPI

Dentfirst, P.C.

  • Dentist
  • Atlanta, GA
National Provider Identifier
1912005752
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7981 Issued in GA
Legal business name
DENTFIRST, P.C.
Practice address
80 Perimeter Center Place N.E.
BLDG 2700
Atlanta, GA 30346
Phone
(770) 671-0001
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Gina S Jackson
Title
Contracts, Credentialing MGR
Phone
(770) 446-8000

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 7981 GA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X

Addresses

Primary practice location

80 Perimeter Center Place N.E.
BLDG 2700
Atlanta, GA 30346

Mailing address

1650 Oakbrook Dr.
Ste 440
Norcross, GA 30093
Phone (770) 446-8000

Other names 1

  • DentFirst - Perimeter Other name

National Provider Directory

National Provider Directory
Tax ID family
Dentfirst16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

80 Perimeter Center Pl NE
Bldg 2700
Atlanta, GA 30346
Phone (770) 671-0001

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1912005752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 OAKBROOK DR.",
            "address_2": "STE 440",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30093",
            "telephone_number": "770-446-8000",
            "fax_number": "770-446-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PERIMETER CENTER PLACE N.E.",
            "address_2": "BLDG 2700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30346",
            "telephone_number": "770-671-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTFIRST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CONTRACTS, CREDENTIALING MGR",
        "authorized_official_telephone_number": "770-446-8000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "7981",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DentFirst - Perimeter",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "DentFirst - Perimeter",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.