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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