Organization Name: | PERIMETER PEDIATRIC DENTISTRY PC |
NPI Number: | 1003123563 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VISHANT NATH (OWNER) |
Mailing Address: | 2221 Johnson Ferry Rd Ne Ste 2-a Atlanta |
State: | GA US |
Postal Code: | 303192203 |
Phone Number: | 6787632600 |
Fax Number: | 6788930459 |
NPI Enumeration Date: | 09/07/2010 |
NPI Last Update Date: | 09/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DN 13057 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |