| Perimeter Pediatric Dentistry Pc | |
|
2221 Johnson Ferry Rd Ne Ste 2-a Atlanta GA 30319-2203 | |
| (678) 763-2600 | |
| (678) 893-0459 |
| Full Name | Perimeter Pediatric Dentistry Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2221 Johnson Ferry Rd Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Vishant Nath (OWNER) |
| Authorized Official Contact | 6787632600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perimeter Pediatric Dentistry Pc 10930 Crabapple Rd Ste106 Roswell GA 30075-5813 Ph: (678) 763-2600 | Perimeter Pediatric Dentistry Pc 2221 Johnson Ferry Rd Ne Ste 2-a Atlanta GA 30319-2203 Ph: (678) 763-2600 |
| NPI Number | 1003123563 |
|---|---|
| Provider Enumeration Date | 09/07/2010 |
| Last Update Date | 09/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003123563 | NPI | - | NPPES |
| 761564386 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN 13057 (Georgia) | Primary |
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