PIEDMONT PERIODONTICS


Address: 222 12th Street, Suite 1b, Atlanta, GA 30309-5044
Phone: 4048154800

PIEDMONT PERIODONTICS (NPI# 1326176991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326176991
Entity Type Organization
Organization Name PIEDMONT PERIODONTICS
Practice Address 222 12th Street
Suite 1b
Atlanta
GA 30309-5044
Mailing Address 1512 Piedmont Ave Ne
Suite 200a
Atlanta
GA 30324-5044
Practice Telephone 4048154800
Practice Fax Number 4048150002
Mailing Telephone 4048154800
Mailing Fax Number 4048150002
Enumeration Date 2007-03-02
Last Update Date 2012-04-17
Authorized Official Name MICHAEL SCOTT BARTRUFF (DMD)
Authorized Official Telephone 4048154800
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
DN012389 GA Dental Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1841490802 Piedmont Periodontics Dentist 3115b Brushy Creek Rd, Greer, SC 29650-0903 2007-07-18

Office Location

Street Address 222 12TH STREET
SUITE 1B
City ATLANTA
State GA
Zip Code 30309-5044

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NPI Name Taxonomy Address Enumeration
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1841782620 Janie Mardis Social Worker 3 Park Ln Ne, Apt H, Atlanta, GA 30309 2018-06-06
1083102842 Veronica L Bentley Specialist/Technologist, Other 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 2018-04-27
1427566363 Net Medical Corp Chiropractor 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 2018-01-12
1871000463 Mary James (jamie) Johnson Counselor 1100 Spring Street, Suite 380, Atlanta, GA 30309 2018-01-04
1306377817 Aliyah Lamis Scott Social Worker 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 2017-03-26
1013450774 Caroline Hallen Nurse Practitioner 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 2016-11-29
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073972584 Kara Kramer Dentist 2970 Peachtree Rd Nw Ste 622, Atlanta, GA 30305-2115 2016-02-12
1699104927 Nisha Maniar Kancherla Dentist 300 W Wieuca Rd Ne Suite 100, Atlanta, GA 30342-9701 2013-11-07
1306273172 Gerrit Charles Hagman Dentist 6190 Rivercliffe Dr, Atlanta, GA 30328-3711 2013-10-10
1306188156 Brock J Pumphrey I Dentist 999 Peachtree St Ne Ste 710, Atlanta, GA 30309-3964 2013-03-20
1760732697 Maria Andreina Izarra Dentist 199 14th St Ne, #2205, Atlanta, GA 30309-3643 2012-09-18
1538370143 Abe Shuster Dentist 999 Peachtree St, Suite 710, Atlanta, GA 30309-3915 2007-05-25
1962628776 Frank P. Benson Dentist 6105 Peachtree Dunwoody Rd., Building C Suite 245, Atlanta, GA 30328 2007-04-18
1245351089 Aubrey Scher Dentist 3648 Chamblee Tucker Rd, Atlanta, GA 30341-4403 2007-04-02
1386763464 Mark Thomas Litterer Dentist 3648 Chamblee Tucker Rd Ste B, Atlanta, GA 30341-4403 2007-03-28
1659409878 William Benjamin Zinney Dentist 3280 Northside Pkwy Nw, # 301, Atlanta, GA 30327-2253 2007-03-01
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Competitor

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City ATLANTA
Zip Code 30309

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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