PERIMETER DENTAL MIDTOWN NPI 1407635873

NPI Information

  • NPI: 1407635873
  • Provider Name: PERIMETER DENTAL MIDTOWN
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • CLIA Number: 11D2309353
  • Address: 77 12TH ST NE STE 1
    ATLANTA, GA
    ZIP 30309
  • Phone: (770) 525-7712

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NPI Details

PERIMETER DENTAL MIDTOWN is a dental clinic center in Atlanta, GA. PERIMETER DENTAL MIDTOWN NPI is 1407635873. The provider is registered as an organization entity type.

The provider's business location address is:

77 12TH ST NE STE 1
ATLANTA, GA
ZIP 30309-972
Phone: (770) 525-7712

The provider's authorized official is Nelson Yang .
The authorized official title is President and has the following contact phone number (770) 525-7712.

The CLIA number assigned to this NPI record is 11D2309353 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2023 and was last updated on 9/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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